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 $38.90 Median $43.65 Typical High $120.23 | Facility | None | $38.90 | $43.65 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $43.65 | Professional | None | $38.90 | $38.90 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $251.19 | Facility | None | $51.29 | $51.29 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $56.23 Typical High $102.33 | Professional | None | $33.11 | $56.23 | $102.33 |
CareFirst Setting Professional Modifier None Typical Low $41.69 Median $46.77 Typical High $77.62 | Professional | None | $41.69 | $46.77 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $100.00 Typical High $173.78 | Facility | None | $52.48 | $100.00 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $38.02 Typical High $91.20 | Professional | None | $25.70 | $38.02 | $91.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $48.98 Median $56.23 Typical High $72.44 | Professional | None | $48.98 | $56.23 | $72.44 |
Medcost Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $93.33 | Facility | None | $69.18 | $69.18 | $93.33 |
Medcost Setting Professional Modifier None Typical Low $33.11 Median $51.29 Typical High $436.52 | Professional | None | $33.11 | $51.29 | $436.52 |
Sentara Setting Facility Modifier None Typical Low $46.77 Median $87.10 Typical High $10,232.93 | Facility | None | $46.77 | $87.10 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $46.77 Median $74.13 Typical High $10,232.93 | Professional | None | $46.77 | $74.13 | $10,232.93 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
United Setting Professional Modifier None Typical Low $21.38 Median $30.90 Typical High $70.79 | Professional | None | $21.38 | $30.90 | $70.79 |
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 $19.50 Median $19.50 Typical High $21.88 | Professional | 52 · Reduced service | $19.50 | $19.50 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $8.71 | Professional | 53 · Discontinued | $7.76 | $7.76 | $8.71 |
Where Virginia sits
The same service costs 6.0 times more in California than in Oklahoma. 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· 29th 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.