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 $83.18 Median $95.50 Typical High $263.03 | Facility | None | $83.18 | $95.50 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $95.50 Typical High $102.33 | Professional | None (both parts) | $83.18 | $95.50 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $549.54 Typical High $691.83 | Facility | None | $426.58 | $549.54 | $691.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $6.92 Median $63.10 Typical High $81.28 | Professional | None (both parts) | $6.92 | $63.10 | $81.28 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $81.28 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $81.28 | $89.13 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $186.21 Typical High $275.42 | Facility | None | $114.82 | $186.21 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $128.82 Typical High $162.18 | Professional | None (both parts) | $46.77 | $128.82 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $134.90 Typical High $165.96 | Professional | None | $112.20 | $134.90 | $165.96 |
Medcost Setting Facility Modifier None Typical Low $72.44 Median $93.33 Typical High $144.54 | Facility | None | $72.44 | $93.33 | $144.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
Sentara Setting Facility Modifier None Typical Low $77.62 Median $128.82 Typical High $251.19 | Facility | None | $77.62 | $128.82 | $251.19 |
Sentara Setting Professional Modifier None (both parts) Typical Low $77.62 Median $128.82 Typical High $251.19 | Professional | None (both parts) | $77.62 | $128.82 | $251.19 |
United Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $58.88 Typical High $112.20 | Professional | None (both parts) | $46.77 | $58.88 | $112.20 |
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 52 · Reduced service Typical Low $41.69 Median $47.86 Typical High $51.29 | Professional | 52 · Reduced service | $41.69 | $47.86 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $19.05 Typical High $20.42 | Professional | 53 · Discontinued | $16.98 | $19.05 | $20.42 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $128.82 Typical High $158.49 | Professional | TC · Technical part | $77.62 | $128.82 | $158.49 |
Where Virginia sits
The same service costs 15.5 times more in Alaska than in Kentucky. 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· 34th of 51
$77.62
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.