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 $42.66 Median $48.98 Typical High $131.83 | Facility | None | $42.66 | $48.98 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $52.48 | Professional | None | $42.66 | $42.66 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $281.84 | Facility | None | $57.54 | $57.54 | $281.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.91 Median $30.90 Typical High $41.69 | Professional | None | $22.91 | $30.90 | $41.69 |
CareFirst Setting Professional Modifier None Typical Low $45.71 Median $51.29 Typical High $87.10 | Professional | None | $45.71 | $51.29 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $112.20 Typical High $190.55 | Facility | None | $57.54 | $112.20 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $40.74 Typical High $97.72 | Professional | None | $28.18 | $40.74 | $97.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $79.43 | Professional | None | $53.70 | $63.10 | $79.43 |
Medcost Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $102.33 | Facility | None | $75.86 | $75.86 | $102.33 |
Medcost Setting Professional Modifier None Typical Low $37.15 Median $57.54 Typical High $123.03 | Professional | None | $37.15 | $57.54 | $123.03 |
Sentara Setting Facility Modifier None Typical Low $39.81 Median $74.13 Typical High $10,232.93 | Facility | None | $39.81 | $74.13 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $48.98 Median $70.79 Typical High $257.04 | Professional | None | $48.98 | $70.79 | $257.04 |
United Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
United Setting Professional Modifier None Typical Low $23.99 Median $33.88 Typical High $79.43 | Professional | None | $23.99 | $33.88 | $79.43 |
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 $21.38 Median $21.38 Typical High $23.99 | Professional | 52 · Reduced service | $21.38 | $21.38 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $9.77 | Professional | 53 · Discontinued | $8.51 | $8.51 | $9.77 |
Where Virginia sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 39th of 51
$51.29
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.