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 $35.48 Median $87.10 Typical High $128.82 | Facility | None | $35.48 | $87.10 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $42.66 Typical High $72.44 | Professional | None | $35.48 | $42.66 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $234.42 | Facility | None | $47.86 | $47.86 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $28.84 Typical High $36.31 | Professional | None | $23.44 | $28.84 | $36.31 |
CareFirst Setting Professional Modifier None Typical Low $34.67 Median $38.02 Typical High $66.07 | Professional | None | $34.67 | $38.02 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $114.82 Typical High $181.97 | Facility | None | $48.98 | $114.82 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $36.31 Typical High $58.88 | Professional | None | $26.30 | $36.31 | $58.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $47.86 Median $57.54 Typical High $70.79 | Professional | None | $47.86 | $57.54 | $70.79 |
Medcost Setting Professional Modifier None Typical Low $39.81 Median $75.86 Typical High $89.13 | Professional | None | $39.81 | $75.86 | $89.13 |
Medcost Setting Facility Modifier None Typical Low $38.02 Median $40.74 Typical High $93.33 | Facility | None | $38.02 | $40.74 | $93.33 |
Medcost Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $47.86 | Professional | None | $40.74 | $40.74 | $47.86 |
Sentara Setting Facility Modifier None Typical Low $42.66 Median $81.28 Typical High $10,232.93 | Facility | None | $42.66 | $81.28 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $42.66 Median $81.28 Typical High $10,232.93 | Professional | None | $42.66 | $81.28 | $10,232.93 |
United Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
United Setting Professional Modifier None Typical Low $19.95 Median $28.84 Typical High $50.12 | Professional | None | $19.95 | $28.84 | $50.12 |
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 $17.78 Median $21.88 Typical High $22.39 | Professional | 52 · Reduced service | $17.78 | $21.88 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $8.71 Typical High $8.91 | Professional | 53 · Discontinued | $7.08 | $8.71 | $8.91 |
Where Virginia sits
The same service costs 6.6 times more in Alaska 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· 43rd of 51
$38.90
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.