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 $75.86 Median $87.10 Typical High $239.88 | Facility | None | $75.86 | $87.10 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $79.43 Typical High $93.33 | Professional | None | $75.86 | $79.43 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $501.19 | Facility | None | $102.33 | $102.33 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $40.74 Median $54.95 Typical High $74.13 | Professional | None | $40.74 | $54.95 | $74.13 |
CareFirst Setting Professional Modifier None Typical Low $83.18 Median $91.20 Typical High $154.88 | Professional | None | $83.18 | $91.20 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $199.53 Typical High $371.54 | Facility | None | $104.71 | $199.53 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $75.86 Typical High $181.97 | Professional | None | $50.12 | $75.86 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $97.72 Median $112.20 Typical High $144.54 | Professional | None | $97.72 | $112.20 | $144.54 |
Medcost Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $181.97 | Facility | None | $138.04 | $138.04 | $181.97 |
Medcost Setting Professional Modifier None Typical Low $66.07 Median $102.33 Typical High $933.25 | Professional | None | $66.07 | $102.33 | $933.25 |
Sentara Setting Facility Modifier None Typical Low $72.44 Median $147.91 Typical High $10,232.93 | Facility | None | $72.44 | $147.91 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $87.10 Median $144.54 Typical High $10,232.93 | Professional | None | $87.10 | $144.54 | $10,232.93 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
United Setting Professional Modifier None Typical Low $42.66 Median $61.66 Typical High $141.25 | Professional | None | $42.66 | $61.66 | $141.25 |
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 $38.02 Median $38.02 Typical High $43.65 | Professional | 52 · Reduced service | $38.02 | $38.02 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $17.38 | Professional | 53 · Discontinued | $15.49 | $15.49 | $17.38 |
Where Virginia sits
The same service costs 3.7 times more in Kansas than in Alabama. 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· 38th of 51
$91.20
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.