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 $27.54 Median $27.54 Typical High $81.28 | Facility | None | $27.54 | $27.54 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $81.28 | Professional | None | $27.54 | $27.54 | $81.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $147.91 Median $177.83 Typical High $218.78 | Professional | None | $147.91 | $177.83 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.38 Median $26.30 Typical High $31.62 | Professional | None | $21.38 | $26.30 | $31.62 |
Medcost Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $123.03 | Facility | None | $81.28 | $81.28 | $123.03 |
Sentara Setting Facility Modifier None Typical Low $51.29 Median $93.33 Typical High $10,232.93 | Facility | None | $51.29 | $93.33 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $50.12 Median $91.20 Typical High $194.98 | Professional | None | $50.12 | $91.20 | $194.98 |
United Setting Professional Modifier None Typical Low $56.23 Median $74.13 Typical High $125.89 | Professional | None | $56.23 | $74.13 | $125.89 |
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 $13.80 Median $13.80 Typical High $39.81 | Professional | 52 · Reduced service | $13.80 | $13.80 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $16.22 | Professional | 53 · Discontinued | $5.50 | $5.50 | $16.22 |
Where Virginia sits
The same service costs 19.1 times more in Nebraska than in Hawaii. 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· 2nd of 51
$162
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.