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 $93.33 Median $107.15 Typical High $288.40 | Facility | None | $93.33 | $107.15 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $112.20 | Professional | None | $93.33 | $93.33 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $616.60 | Facility | None | $125.89 | $125.89 | $616.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $50.12 Median $67.61 Typical High $91.20 | Professional | None | $50.12 | $67.61 | $91.20 |
CareFirst Setting Professional Modifier None Typical Low $89.13 Median $100.00 Typical High $125.89 | Professional | None | $89.13 | $100.00 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $239.88 Typical High $416.87 | Facility | None | $125.89 | $239.88 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $77.62 Typical High $194.98 | Professional | None | $58.88 | $77.62 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $173.78 | Professional | None | $117.49 | $138.04 | $173.78 |
Medcost Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $223.87 | Facility | None | $165.96 | $165.96 | $223.87 |
Medcost Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $125.89 | Professional | None | $81.28 | $81.28 | $125.89 |
Sentara Setting Facility Modifier None Typical Low $93.33 Median $162.18 Typical High $10,232.93 | Facility | None | $93.33 | $162.18 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $112.20 Median $144.54 Typical High $549.54 | Professional | None | $112.20 | $144.54 | $549.54 |
United Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
United Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $173.78 | Professional | None | $52.48 | $74.13 | $173.78 |
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 $46.77 Median $46.77 Typical High $52.48 | Professional | 52 · Reduced service | $46.77 | $46.77 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $21.38 | Professional | 53 · Discontinued | $18.62 | $18.62 | $21.38 |
Where Virginia sits
The same service costs 4.5 times more in Alaska 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
$107
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.