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 $64.57 Median $64.57 Typical High $77.62 | Facility | None | $64.57 | $64.57 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $77.62 | Professional | None | $64.57 | $64.57 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $58.88 Median $69.18 Typical High $87.10 | Professional | None | $58.88 | $69.18 | $87.10 |
CareFirst Setting Professional Modifier None Typical Low $66.07 Median $74.13 Typical High $93.33 | Professional | None | $66.07 | $74.13 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $44.67 Typical High $97.72 | Facility | None | $43.65 | $44.67 | $97.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $97.72 Typical High $120.23 | Professional | None | $81.28 | $97.72 | $120.23 |
Medcost Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $97.72 | Facility | None | $64.57 | $64.57 | $97.72 |
Medcost Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Sentara Setting Facility Modifier None Typical Low $109.65 Median $1,995.26 Typical High $10,232.93 | Facility | None | $109.65 | $1,995.26 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $72.44 Median $120.23 Typical High $10,232.93 | Professional | None | $72.44 | $120.23 | $10,232.93 |
United Setting Facility Modifier None Typical Low $426.58 Median $2,344.23 Typical High $6,309.57 | Facility | None | $426.58 | $2,344.23 | $6,309.57 |
United Setting Professional Modifier None Typical Low $52.48 Median $81.28 Typical High $120.23 | Professional | None | $52.48 | $81.28 | $120.23 |
2 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 $30.90 Median $32.36 Typical High $38.90 | Professional | 52 · Reduced service | $30.90 | $32.36 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.88 Typical High $15.49 | Professional | 53 · Discontinued | $12.30 | $12.88 | $15.49 |
Where Virginia sits
The same service costs 11.2 times more in Texas than in Arkansas. 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· 38th of 51
$74.13
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.