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 $46.77 Median $52.48 Typical High $144.54 | Facility | None | $46.77 | $52.48 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $52.48 Typical High $54.95 | Professional | None (both parts) | $46.77 | $52.48 | $54.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $302.00 | Facility | None | $61.66 | $61.66 | $302.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $45.71 Typical High $47.86 | Professional | None (both parts) | $36.31 | $45.71 | $47.86 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $44.67 | $50.12 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $104.71 Typical High $154.88 | Facility | None | $63.10 | $104.71 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $70.79 Typical High $89.13 | Professional | None (both parts) | $25.70 | $70.79 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $74.13 Typical High $91.20 | Professional | None | $61.66 | $74.13 | $91.20 |
Medcost Setting Facility Modifier None Typical Low $40.74 Median $52.48 Typical High $81.28 | Facility | None | $40.74 | $52.48 | $81.28 |
Medcost Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $51.29 | $51.29 | $51.29 |
Sentara Setting Facility Modifier None Typical Low $40.74 Median $77.62 Typical High $158.49 | Facility | None | $40.74 | $77.62 | $158.49 |
Sentara Setting Professional Modifier None (both parts) Typical Low $43.65 Median $79.43 Typical High $162.18 | Professional | None (both parts) | $43.65 | $79.43 | $162.18 |
United Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $32.36 Typical High $61.66 | Professional | None (both parts) | $26.30 | $32.36 | $61.66 |
3 more rates 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 26 · Professional part Typical Low $46.77 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $46.77 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $26.30 Typical High $27.54 | Professional | 52 · Reduced service | $23.44 | $26.30 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.47 Typical High $10.96 | Professional | 53 · Discontinued | $9.33 | $10.47 | $10.96 |
Where Virginia sits
The same service costs 4.3 times more in Wyoming than in Alabama. 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· 37th of 51
$46.77
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.