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 $61.66 Median $70.79 Typical High $194.98 | Facility | None | $61.66 | $70.79 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $70.79 | Professional | None | $61.66 | $61.66 | $70.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $407.38 | Facility | None | $83.18 | $83.18 | $407.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.18 Median $41.69 Typical High $57.54 | Professional | None | $28.18 | $41.69 | $57.54 |
CareFirst Setting Professional Modifier None Typical Low $67.61 Median $74.13 Typical High $87.10 | Professional | None | $67.61 | $74.13 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $158.49 Typical High $281.84 | Facility | None | $85.11 | $158.49 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $58.88 Typical High $141.25 | Professional | None | $40.74 | $58.88 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $91.20 Typical High $117.49 | Professional | None | $79.43 | $91.20 | $117.49 |
Medcost Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $75.86 | Professional | None | $53.70 | $53.70 | $75.86 |
Sentara Setting Facility Modifier None Typical Low $74.13 Median $120.23 Typical High $10,232.93 | Facility | None | $74.13 | $120.23 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $72.44 Median $112.20 Typical High $10,232.93 | Professional | None | $72.44 | $112.20 | $10,232.93 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None Typical Low $34.67 Median $50.12 Typical High $117.49 | Professional | None | $34.67 | $50.12 | $117.49 |
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 $30.90 Median $30.90 Typical High $35.48 | Professional | 52 · Reduced service | $30.90 | $30.90 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $14.13 | Professional | 53 · Discontinued | $12.59 | $12.59 | $14.13 |
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· 34th of 51
$74.13
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.