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 $120.23 Median $138.04 Typical High $380.19 | Facility | None | $120.23 | $138.04 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $138.04 Typical High $144.54 | Professional | None | $120.23 | $138.04 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $794.33 | Facility | None | $162.18 | $162.18 | $794.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $91.20 Typical High $117.49 | Professional | None | $64.57 | $91.20 | $117.49 |
CareFirst Setting Professional Modifier None Typical Low $100.00 Median $128.82 Typical High $128.82 | Professional | None | $100.00 | $128.82 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $257.04 Typical High $398.11 | Facility | None | $165.96 | $257.04 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $97.72 Typical High $186.21 | Professional | None | $45.71 | $97.72 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $194.98 Typical High $239.88 | Professional | None | $162.18 | $194.98 | $239.88 |
Medcost Setting Professional Modifier None Typical Low $60.26 Median $120.23 Typical High $141.25 | Professional | None | $60.26 | $120.23 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $60.26 Median $128.82 Typical High $162.18 | Facility | None | $60.26 | $128.82 | $162.18 |
Medcost Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $112.20 | Professional | None | $60.26 | $60.26 | $112.20 |
Sentara Setting Facility Modifier None Typical Low $102.33 Median $190.55 Typical High $10,232.93 | Facility | None | $102.33 | $190.55 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $102.33 Median $190.55 Typical High $10,232.93 | Professional | None | $102.33 | $190.55 | $10,232.93 |
United Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
United Setting Professional Modifier None Typical Low $42.66 Median $72.44 Typical High $104.71 | Professional | None | $42.66 | $72.44 | $104.71 |
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 $60.26 Median $69.18 Typical High $72.44 | Professional | 52 · Reduced service | $60.26 | $69.18 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $27.54 Typical High $28.84 | Professional | 53 · Discontinued | $24.55 | $27.54 | $28.84 |
Where Virginia sits
The same service costs 7.6 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· 32nd of 51
$117
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.