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 $38.02 Median $47.86 Typical High $131.83 | Facility | None | $38.02 | $47.86 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $47.86 Typical High $50.12 | Professional | None | $38.02 | $47.86 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $245.47 | Facility | None | $50.12 | $50.12 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $30.20 Typical High $38.90 | Professional | None | $25.12 | $30.20 | $38.90 |
CareFirst Setting Professional Modifier None Typical Low $36.31 Median $40.74 Typical High $70.79 | Professional | None | $36.31 | $40.74 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $120.23 Typical High $190.55 | Facility | None | $51.29 | $120.23 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $38.90 Typical High $57.54 | Professional | None | $27.54 | $38.90 | $57.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $74.13 | Professional | None | $50.12 | $60.26 | $74.13 |
Medcost Setting Professional Modifier None Typical Low $41.69 Median $85.11 Typical High $97.72 | Professional | None | $41.69 | $85.11 | $97.72 |
Medcost Setting Facility Modifier None Typical Low $40.74 Median $47.86 Typical High $97.72 | Facility | None | $40.74 | $47.86 | $97.72 |
Medcost Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $43.65 | Professional | None | $42.66 | $42.66 | $43.65 |
Sentara Setting Facility Modifier None Typical Low $38.90 Median $72.44 Typical High $7,413.10 | Facility | None | $38.90 | $72.44 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $38.90 Median $72.44 Typical High $10,232.93 | Professional | None | $38.90 | $72.44 | $10,232.93 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $21.38 Median $30.20 Typical High $52.48 | Professional | None | $21.38 | $30.20 | $52.48 |
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 $19.05 Median $23.44 Typical High $23.99 | Professional | 52 · Reduced service | $19.05 | $23.44 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $9.33 Typical High $9.55 | Professional | 53 · Discontinued | $7.59 | $9.33 | $9.55 |
Where Virginia sits
The same service costs 3.8 times more in Kansas than in Texas. 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
$40.74
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.