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 $81.28 Typical High $223.87 | Facility | None | $64.57 | $81.28 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $74.13 Typical High $81.28 | Professional | None | $64.57 | $74.13 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $426.58 | Facility | None | $87.10 | $87.10 | $426.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $52.48 Typical High $66.07 | Professional | None | $42.66 | $52.48 | $66.07 |
CareFirst Setting Professional Modifier None Typical Low $63.10 Median $69.18 Typical High $120.23 | Professional | None | $63.10 | $69.18 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $208.93 Typical High $309.03 | Facility | None | $89.13 | $208.93 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $66.07 Typical High $107.15 | Professional | None | $47.86 | $66.07 | $107.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $104.71 Typical High $128.82 | Professional | None | $87.10 | $104.71 | $128.82 |
Medcost Setting Professional Modifier None Typical Low $72.44 Median $144.54 Typical High $169.82 | Professional | None | $72.44 | $144.54 | $169.82 |
Medcost Setting Facility Modifier None Typical Low $63.10 Median $72.44 Typical High $158.49 | Facility | None | $63.10 | $72.44 | $158.49 |
Medcost Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $120.23 | Professional | None | $72.44 | $72.44 | $120.23 |
Sentara Setting Facility Modifier None Typical Low $77.62 Median $123.03 Typical High $10,232.93 | Facility | None | $77.62 | $123.03 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $77.62 Median $123.03 Typical High $10,232.93 | Professional | None | $77.62 | $123.03 | $10,232.93 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $36.31 Median $52.48 Typical High $91.20 | Professional | None | $36.31 | $52.48 | $91.20 |
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 $32.36 Median $39.81 Typical High $40.74 | Professional | 52 · Reduced service | $32.36 | $39.81 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $15.85 Typical High $16.60 | Professional | 53 · Discontinued | $13.18 | $15.85 | $16.60 |
Where Virginia sits
The same service costs 4.1 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· 42nd of 51
$69.18
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.