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 $77.62 Median $97.72 Typical High $269.15 | Facility | None | $77.62 | $97.72 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $95.50 Typical High $97.72 | Professional | None | $77.62 | $95.50 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $501.19 | Facility | None | $102.33 | $102.33 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $61.66 Typical High $79.43 | Professional | None | $51.29 | $61.66 | $79.43 |
CareFirst Setting Professional Modifier None Typical Low $74.13 Median $83.18 Typical High $144.54 | Professional | None | $74.13 | $83.18 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $245.47 Typical High $371.54 | Facility | None | $104.71 | $245.47 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $117.49 | Professional | None | $56.23 | $77.62 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $123.03 Typical High $151.36 | Professional | None | $102.33 | $123.03 | $151.36 |
Medcost Setting Professional Modifier None Typical Low $85.11 Median $173.78 Typical High $199.53 | Professional | None | $85.11 | $173.78 | $199.53 |
Medcost Setting Facility Modifier None Typical Low $83.18 Median $97.72 Typical High $173.78 | Facility | None | $83.18 | $97.72 | $173.78 |
Medcost Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $162.18 | Professional | None | $87.10 | $87.10 | $162.18 |
Sentara Setting Facility Modifier None Typical Low $91.20 Median $144.54 Typical High $10,232.93 | Facility | None | $91.20 | $144.54 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $91.20 Median $144.54 Typical High $10,232.93 | Professional | None | $91.20 | $144.54 | $10,232.93 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
United Setting Professional Modifier None Typical Low $43.65 Median $61.66 Typical High $107.15 | Professional | None | $43.65 | $61.66 | $107.15 |
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 $38.90 Median $47.86 Typical High $48.98 | Professional | 52 · Reduced service | $38.90 | $47.86 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $19.05 Typical High $19.50 | Professional | 53 · Discontinued | $15.49 | $19.05 | $19.50 |
Where Virginia sits
The same service costs 5.1 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· 43rd of 51
$83.18
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.