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 $85.11 Median $97.72 Typical High $269.15 | Facility | None | $85.11 | $97.72 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $97.72 Typical High $102.33 | Professional | None (both parts) | $85.11 | $97.72 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $562.34 Typical High $707.95 | Facility | None | $436.52 | $562.34 | $707.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $64.57 Typical High $83.18 | Professional | None (both parts) | $31.62 | $64.57 | $83.18 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $83.18 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $83.18 | $91.20 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $190.55 Typical High $281.84 | Facility | None | $117.49 | $190.55 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $131.83 Typical High $165.96 | Professional | None (both parts) | $47.86 | $131.83 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $138.04 Typical High $169.82 | Professional | None | $114.82 | $138.04 | $169.82 |
Medcost Setting Facility Modifier None Typical Low $74.13 Median $97.72 Typical High $204.17 | Facility | None | $74.13 | $97.72 | $204.17 |
Medcost Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
Sentara Setting Facility Modifier None Typical Low $81.28 Median $131.83 Typical High $257.04 | Facility | None | $81.28 | $131.83 | $257.04 |
Sentara Setting Professional Modifier None (both parts) Typical Low $81.28 Median $131.83 Typical High $257.04 | Professional | None (both parts) | $81.28 | $131.83 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $60.26 Typical High $114.82 | Professional | None (both parts) | $47.86 | $60.26 | $114.82 |
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 $42.66 Median $48.98 Typical High $51.29 | Professional | 52 · Reduced service | $42.66 | $48.98 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $19.50 Typical High $20.42 | Professional | 53 · Discontinued | $16.98 | $19.50 | $20.42 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $131.83 Typical High $162.18 | Professional | TC · Technical part | $79.43 | $131.83 | $162.18 |
Where Virginia sits
The same service costs 8.1 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· 36th of 51
$79.43
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.