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 $29.51 Median $33.11 Typical High $91.20 | Facility | None | $29.51 | $33.11 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $33.11 | Professional | None | $29.51 | $29.51 | $33.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $190.55 | Facility | None | $38.90 | $38.90 | $190.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.85 Median $21.38 Typical High $28.84 | Professional | None | $15.85 | $21.38 | $28.84 |
CareFirst Setting Professional Modifier None Typical Low $31.62 Median $35.48 Typical High $60.26 | Professional | None | $31.62 | $35.48 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $75.86 Typical High $109.65 | Facility | None | $39.81 | $75.86 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $28.84 Typical High $66.07 | Professional | None | $19.50 | $28.84 | $66.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $37.15 Median $43.65 Typical High $54.95 | Professional | None | $37.15 | $43.65 | $54.95 |
Medcost Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $70.79 | Facility | None | $52.48 | $52.48 | $70.79 |
Medcost Setting Professional Modifier None Typical Low $25.70 Median $38.90 Typical High $165.96 | Professional | None | $25.70 | $38.90 | $165.96 |
Sentara Setting Facility Modifier None Typical Low $35.48 Median $66.07 Typical High $10,232.93 | Facility | None | $35.48 | $66.07 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $35.48 Median $56.23 Typical High $10,232.93 | Professional | None | $35.48 | $56.23 | $10,232.93 |
United Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
United Setting Professional Modifier None Typical Low $16.60 Median $23.44 Typical High $54.95 | Professional | None | $16.60 | $23.44 | $54.95 |
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 $14.79 Median $14.79 Typical High $16.60 | Professional | 52 · Reduced service | $14.79 | $14.79 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $6.61 | Professional | 53 · Discontinued | $5.89 | $5.89 | $6.61 |
Where Virginia sits
The same service costs 6.6 times more in Kansas 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· 35th of 51
$35.48
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.