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 $97.72 Median $109.65 Typical High $302.00 | Facility | None | $97.72 | $109.65 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $109.65 Typical High $114.82 | Professional | None | $97.72 | $109.65 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $630.96 | Facility | None | $128.82 | $128.82 | $630.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $77.62 Typical High $95.50 | Professional | None | $51.29 | $77.62 | $95.50 |
CareFirst Setting Professional Modifier None Typical Low $93.33 Median $102.33 Typical High $109.65 | Professional | None | $93.33 | $102.33 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $223.87 Typical High $331.13 | Facility | None | $131.83 | $223.87 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $77.62 Typical High $147.91 | Professional | None | $47.86 | $77.62 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $154.88 Typical High $190.55 | Professional | None | $128.82 | $154.88 | $190.55 |
Medcost Setting Professional Modifier None Typical Low $64.57 Median $131.83 Typical High $154.88 | Professional | None | $64.57 | $131.83 | $154.88 |
Medcost Setting Facility Modifier None Typical Low $66.07 Median $102.33 Typical High $134.90 | Facility | None | $66.07 | $102.33 | $134.90 |
Medcost Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $120.23 | Professional | None | $66.07 | $66.07 | $120.23 |
Sentara Setting Facility Modifier None Typical Low $91.20 Median $154.88 Typical High $10,232.93 | Facility | None | $91.20 | $154.88 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $91.20 Median $154.88 Typical High $10,232.93 | Professional | None | $91.20 | $154.88 | $10,232.93 |
United Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
United Setting Professional Modifier None Typical Low $45.71 Median $64.57 Typical High $109.65 | Professional | None | $45.71 | $64.57 | $109.65 |
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 $48.98 Median $54.95 Typical High $57.54 | Professional | 52 · Reduced service | $48.98 | $54.95 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $21.88 Typical High $22.91 | Professional | 53 · Discontinued | $19.50 | $21.88 | $22.91 |
Where Virginia sits
The same service costs 6.0 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· 39th of 51
$95.50
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.