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 $102.33 Median $117.49 Typical High $316.23 | Facility | None | $102.33 | $117.49 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $117.49 | Professional | None | $102.33 | $102.33 | $117.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $676.08 | Facility | None | $138.04 | $138.04 | $676.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $74.13 Typical High $100.00 | Professional | None | $54.95 | $74.13 | $100.00 |
CareFirst Setting Professional Modifier None Typical Low $97.72 Median $109.65 Typical High $128.82 | Professional | None | $97.72 | $109.65 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $263.03 Typical High $407.38 | Facility | None | $138.04 | $263.03 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $85.11 Typical High $213.80 | Professional | None | $64.57 | $85.11 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $190.55 | Professional | None | $128.82 | $151.36 | $190.55 |
Medcost Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $245.47 | Facility | None | $181.97 | $181.97 | $245.47 |
Medcost Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $138.04 | Professional | None | $89.13 | $89.13 | $138.04 |
Sentara Setting Facility Modifier None Typical Low $102.33 Median $177.83 Typical High $10,232.93 | Facility | None | $102.33 | $177.83 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $123.03 Median $158.49 Typical High $602.56 | Professional | None | $123.03 | $158.49 | $602.56 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
United Setting Professional Modifier None Typical Low $57.54 Median $81.28 Typical High $190.55 | Professional | None | $57.54 | $81.28 | $190.55 |
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 $51.29 Median $51.29 Typical High $58.88 | Professional | 52 · Reduced service | $51.29 | $51.29 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $23.44 | Professional | 53 · Discontinued | $20.42 | $20.42 | $23.44 |
Where Virginia sits
The same service costs 5.5 times more in Texas 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· 36th 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.