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 $46.77 Median $67.61 Typical High $151.36 | Facility | None | $46.77 | $67.61 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $54.95 Typical High $87.10 | Professional | None | $46.77 | $54.95 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $302.00 | Facility | None | $61.66 | $61.66 | $302.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $37.15 Typical High $47.86 | Professional | None | $28.84 | $37.15 | $47.86 |
CareFirst Setting Professional Modifier None Typical Low $20.42 Median $50.12 Typical High $50.12 | Professional | None | $20.42 | $50.12 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $104.71 Typical High $158.49 | Facility | None | $63.10 | $104.71 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $38.02 Typical High $89.13 | Professional | None | $31.62 | $38.02 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $74.13 Typical High $91.20 | Professional | None | $61.66 | $74.13 | $91.20 |
Medcost Setting Facility Modifier None Typical Low $50.12 Median $61.66 Typical High $107.15 | Facility | None | $50.12 | $61.66 | $107.15 |
Medcost Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Sentara Setting Facility Modifier None Typical Low $56.23 Median $79.43 Typical High $7,413.10 | Facility | None | $56.23 | $79.43 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $56.23 Median $79.43 Typical High $7,413.10 | Professional | None | $56.23 | $79.43 | $7,413.10 |
United Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
United Setting Professional Modifier None Typical Low $26.30 Median $35.48 Typical High $61.66 | Professional | None | $26.30 | $35.48 | $61.66 |
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 $23.44 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $23.44 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $9.33 | $10.96 | $10.96 |
Where Virginia sits
The same service costs 4.5 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· 41st of 51
$50.12
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.