How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $218.78 | Facility | None | $199.53 | $199.53 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $199.53 Typical High $218.78 | Professional | None | $190.55 | $199.53 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $245.47 | Professional | None | $177.83 | $208.93 | $245.47 |
CareFirst Setting Professional Modifier None Typical Low $151.36 Median $169.82 Typical High $199.53 | Professional | None | $151.36 | $169.82 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $190.55 Typical High $257.04 | Professional | None | $173.78 | $190.55 | $257.04 |
Medcost Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $354.81 | Facility | None | $257.04 | $257.04 | $354.81 |
Medcost Setting Professional Modifier None Typical Low $154.88 Median $162.18 Typical High $190.55 | Professional | None | $154.88 | $162.18 | $190.55 |
Sentara Setting Facility Modifier None Typical Low $154.88 Median $245.47 Typical High $10,232.93 | Facility | None | $154.88 | $245.47 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $190.55 Median $204.17 Typical High $281.84 | Professional | None | $190.55 | $204.17 | $281.84 |
United Setting Professional Modifier None Typical Low $147.91 Median $181.97 Typical High $302.00 | Professional | None | $147.91 | $181.97 | $302.00 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $100.00 Typical High $109.65 | Professional | 52 · Reduced service | $97.72 | $100.00 | $109.65 |
Where Virginia sits
The same service costs 3.2 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Virginia· 23rd of 51
$200
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.