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 $54.95 Typical High $151.36 | Facility | None | $48.98 | $54.95 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $57.54 | Professional | None | $48.98 | $48.98 | $57.54 |
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 $26.30 Median $35.48 Typical High $44.67 | Professional | None | $26.30 | $35.48 | $44.67 |
CareFirst Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $72.44 | Professional | None | $46.77 | $52.48 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $125.89 Typical High $218.78 | Facility | None | $66.07 | $125.89 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $43.65 Typical High $112.20 | Professional | None | $29.51 | $43.65 | $112.20 |
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 $79.43 Median $79.43 Typical High $117.49 | Facility | None | $79.43 | $79.43 | $117.49 |
Medcost Setting Professional Modifier None Typical Low $42.66 Median $58.88 Typical High $141.25 | Professional | None | $42.66 | $58.88 | $141.25 |
Sentara Setting Facility Modifier None Typical Low $58.88 Median $95.50 Typical High $10,232.93 | Facility | None | $58.88 | $95.50 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $56.23 Median $81.28 Typical High $7,413.10 | Professional | None | $56.23 | $81.28 | $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 $25.12 Median $35.48 Typical High $85.11 | Professional | None | $25.12 | $35.48 | $85.11 |
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 $27.54 | Professional | 52 · Reduced service | $24.55 | $24.55 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $11.22 | Professional | 53 · Discontinued | $9.77 | $9.77 | $11.22 |
Where Virginia sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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· 39th of 51
$54.95
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.