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 $48.98 Median $69.18 Typical High $151.36 | Facility | None | $48.98 | $69.18 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $52.48 Typical High $58.88 | Professional | None | $48.98 | $52.48 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $323.59 | Facility | None | $66.07 | $66.07 | $323.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.30 Median $35.48 Typical High $45.71 | Professional | None | $26.30 | $35.48 | $45.71 |
CareFirst Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $61.66 | Professional | None | $46.77 | $52.48 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $125.89 Typical High $218.78 | Facility | None | $67.61 | $125.89 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $46.77 Typical High $112.20 | Professional | None | $32.36 | $46.77 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $63.10 Median $72.44 Typical High $91.20 | Professional | None | $63.10 | $72.44 | $91.20 |
Medcost Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $117.49 | Facility | None | $91.20 | $91.20 | $117.49 |
Medcost Setting Professional Modifier None Typical Low $39.81 Median $67.61 Typical High $100.00 | Professional | None | $39.81 | $67.61 | $100.00 |
Sentara Setting Facility Modifier None Typical Low $50.12 Median $87.10 Typical High $10,232.93 | Facility | None | $50.12 | $87.10 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $58.88 Median $77.62 Typical High $295.12 | Professional | None | $58.88 | $77.62 | $295.12 |
United Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
United Setting Professional Modifier None Typical Low $27.54 Median $39.81 Typical High $91.20 | Professional | None | $27.54 | $39.81 | $91.20 |
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 $24.55 Median $24.55 Typical High $28.18 | Professional | 52 · Reduced service | $24.55 | $24.55 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $11.22 | Professional | 53 · Discontinued | $9.77 | $9.77 | $11.22 |
Where Virginia sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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
$56.23
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.