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 $61.66 Typical High $169.82 | Facility | None | $48.98 | $61.66 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $53.70 Typical High $75.86 | Professional | None | $48.98 | $53.70 | $75.86 |
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 $32.36 Median $39.81 Typical High $58.88 | Professional | None | $32.36 | $39.81 | $58.88 |
CareFirst Setting Professional Modifier None Typical Low $52.48 Median $58.88 Typical High $70.79 | Professional | None | $52.48 | $58.88 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $128.82 Typical High $229.09 | Facility | None | $66.07 | $128.82 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $48.98 Typical High $128.82 | Professional | None | $35.48 | $48.98 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $91.20 | Professional | None | $61.66 | $72.44 | $91.20 |
Medcost Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $131.83 | Facility | None | $120.23 | $120.23 | $131.83 |
Medcost Setting Professional Modifier None Typical Low $52.48 Median $89.13 Typical High $190.55 | Professional | None | $52.48 | $89.13 | $190.55 |
Sentara Setting Facility Modifier None Typical Low $61.66 Median $109.65 Typical High $10,232.93 | Facility | None | $61.66 | $109.65 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $61.66 Median $95.50 Typical High $7,413.10 | Professional | None | $61.66 | $95.50 | $7,413.10 |
United Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
United Setting Professional Modifier None Typical Low $27.54 Median $38.90 Typical High $102.33 | Professional | None | $27.54 | $38.90 | $102.33 |
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 $30.90 | Professional | 52 · Reduced service | $24.55 | $24.55 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $12.30 | Professional | 53 · Discontinued | $9.77 | $9.77 | $12.30 |
Where Virginia sits
The same service costs 4.8 times more in Kansas than in Illinois. 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· 37th of 51
$61.66
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.