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 $56.23 Median $70.79 Typical High $194.98 | Facility | None | $56.23 | $70.79 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $63.10 Typical High $89.13 | Professional | None | $54.95 | $63.10 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $363.08 | Facility | None | $74.13 | $74.13 | $363.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $44.67 Typical High $57.54 | Professional | None | $37.15 | $44.67 | $57.54 |
CareFirst Setting Professional Modifier None Typical Low $53.70 Median $60.26 Typical High $138.04 | Professional | None | $53.70 | $60.26 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $144.54 Typical High $263.03 | Facility | None | $75.86 | $144.54 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $57.54 Typical High $109.65 | Professional | None | $40.74 | $57.54 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $89.13 Typical High $109.65 | Professional | None | $74.13 | $89.13 | $109.65 |
Medcost Setting Facility Modifier None Typical Low $54.95 Median $70.79 Typical High $138.04 | Facility | None | $54.95 | $70.79 | $138.04 |
Medcost Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Sentara Setting Facility Modifier None Typical Low $67.61 Median $102.33 Typical High $7,413.10 | Facility | None | $67.61 | $102.33 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $67.61 Median $102.33 Typical High $7,413.10 | Professional | None | $67.61 | $102.33 | $7,413.10 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $31.62 Median $42.66 Typical High $75.86 | Professional | None | $31.62 | $42.66 | $75.86 |
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 $28.18 Median $34.67 Typical High $35.48 | Professional | 52 · Reduced service | $28.18 | $34.67 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $13.80 Typical High $14.13 | Professional | 53 · Discontinued | $11.22 | $13.80 | $14.13 |
Where Virginia sits
The same service costs 5.4 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· 44th of 51
$60.26
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.