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 $69.18 Median $128.82 Typical High $239.88 | Facility | None | $69.18 | $128.82 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $70.79 Typical High $109.65 | Professional | None | $69.18 | $70.79 | $109.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $446.68 | Facility | None | $91.20 | $91.20 | $446.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $54.95 Typical High $75.86 | Professional | None | $43.65 | $54.95 | $75.86 |
CareFirst Setting Professional Modifier None Typical Low $66.07 Median $74.13 Typical High $87.10 | Professional | None | $66.07 | $74.13 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $177.83 Typical High $323.59 | Facility | None | $93.33 | $177.83 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $69.18 Typical High $181.97 | Professional | None | $50.12 | $69.18 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $100.00 Typical High $128.82 | Professional | None | $87.10 | $100.00 | $128.82 |
Medcost Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $181.97 | Facility | None | $169.82 | $169.82 | $181.97 |
Medcost Setting Professional Modifier None Typical Low $70.79 Median $123.03 Typical High $125.89 | Professional | None | $70.79 | $123.03 | $125.89 |
Sentara Setting Facility Modifier None Typical Low $87.10 Median $154.88 Typical High $10,232.93 | Facility | None | $87.10 | $154.88 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $87.10 Median $131.83 Typical High $4,570.88 | Professional | None | $87.10 | $131.83 | $4,570.88 |
United Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
United Setting Professional Modifier None Typical Low $38.90 Median $54.95 Typical High $144.54 | Professional | None | $38.90 | $54.95 | $144.54 |
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 $34.67 Median $34.67 Typical High $43.65 | Professional | 52 · Reduced service | $34.67 | $34.67 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $17.38 | Professional | 53 · Discontinued | $13.80 | $13.80 | $17.38 |
Where Virginia sits
The same service costs 3.2 times more in Alaska than in Connecticut. 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· 30th of 51
$87.10
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.