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 $91.20 Median $169.82 Typical High $316.23 | Facility | None | $91.20 | $169.82 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $95.50 Typical High $138.04 | Professional | None | $91.20 | $95.50 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $602.56 | Facility | None | $123.03 | $123.03 | $602.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $74.13 Typical High $109.65 | Professional | None | $60.26 | $74.13 | $109.65 |
CareFirst Setting Professional Modifier None Typical Low $97.72 Median $109.65 Typical High $165.96 | Professional | None | $97.72 | $109.65 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $239.88 Typical High $426.58 | Facility | None | $123.03 | $239.88 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $93.33 Typical High $213.80 | Professional | None | $72.44 | $93.33 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $169.82 | Professional | None | $114.82 | $134.90 | $169.82 |
Medcost Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $245.47 | Facility | None | $223.87 | $223.87 | $245.47 |
Medcost Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $165.96 | Professional | None | $97.72 | $97.72 | $165.96 |
Sentara Setting Facility Modifier None Typical Low $114.82 Median $177.83 Typical High $10,232.93 | Facility | None | $114.82 | $177.83 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $123.03 Median $165.96 Typical High $549.54 | Professional | None | $123.03 | $165.96 | $549.54 |
United Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
United Setting Professional Modifier None Typical Low $51.29 Median $72.44 Typical High $190.55 | Professional | None | $51.29 | $72.44 | $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 $45.71 Median $45.71 Typical High $57.54 | Professional | 52 · Reduced service | $45.71 | $45.71 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $22.91 | Professional | 53 · Discontinued | $18.20 | $18.20 | $22.91 |
Where Virginia sits
The same service costs 4.4 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· 33rd of 51
$120
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.