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 $60.26 Median $75.86 Typical High $208.93 | Facility | None | $60.26 | $75.86 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $75.86 | Professional | None | $60.26 | $70.79 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $398.11 | Facility | None | $81.28 | $81.28 | $398.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $47.86 Typical High $58.88 | Professional | None | $13.18 | $47.86 | $58.88 |
CareFirst Setting Professional Modifier None Typical Low $57.54 Median $64.57 Typical High $112.20 | Professional | None | $57.54 | $64.57 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $190.55 Typical High $288.40 | Facility | None | $81.28 | $190.55 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $60.26 Typical High $114.82 | Professional | None | $25.70 | $60.26 | $114.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $120.23 | Professional | None | $81.28 | $95.50 | $120.23 |
Medcost Setting Professional Modifier None Typical Low $66.07 Median $134.90 Typical High $158.49 | Professional | None | $66.07 | $134.90 | $158.49 |
Medcost Setting Facility Modifier None Typical Low $58.88 Median $67.61 Typical High $147.91 | Facility | None | $58.88 | $67.61 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $194.98 | Professional | None | $67.61 | $67.61 | $194.98 |
Sentara Setting Facility Modifier None Typical Low $56.23 Median $112.20 Typical High $10,232.93 | Facility | None | $56.23 | $112.20 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $56.23 Median $112.20 Typical High $10,232.93 | Professional | None | $56.23 | $112.20 | $10,232.93 |
United Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
United Setting Professional Modifier None Typical Low $33.88 Median $47.86 Typical High $85.11 | Professional | None | $33.88 | $47.86 | $85.11 |
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 $30.20 Median $37.15 Typical High $38.02 | Professional | 52 · Reduced service | $30.20 | $37.15 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $14.79 Typical High $15.14 | Professional | 53 · Discontinued | $12.02 | $14.79 | $15.14 |
Where Virginia sits
The same service costs 4.6 times more in Kansas 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· 46th of 51
$61.66
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.