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 $89.13 Median $102.33 Typical High $281.84 | Facility | None | $89.13 | $102.33 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $102.33 | Professional | None | $89.13 | $89.13 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $588.84 | Facility | None | $120.23 | $120.23 | $588.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $40.74 Median $60.26 Typical High $83.18 | Professional | None | $40.74 | $60.26 | $83.18 |
CareFirst Setting Professional Modifier None Typical Low $87.10 Median $95.50 Typical High $112.20 | Professional | None | $87.10 | $95.50 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $199.53 Typical High $302.00 | Facility | None | $123.03 | $199.53 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $85.11 Typical High $204.17 | Professional | None | $58.88 | $85.11 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $131.83 Typical High $169.82 | Professional | None | $114.82 | $131.83 | $169.82 |
Medcost Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $213.80 | Facility | None | $162.18 | $162.18 | $213.80 |
Medcost Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $120.23 | Professional | None | $77.62 | $77.62 | $120.23 |
Sentara Setting Facility Modifier None Typical Low $107.15 Median $204.17 Typical High $10,232.93 | Facility | None | $107.15 | $204.17 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $107.15 Median $173.78 Typical High $10,232.93 | Professional | None | $107.15 | $173.78 | $10,232.93 |
United Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
United Setting Professional Modifier None Typical Low $50.12 Median $72.44 Typical High $165.96 | Professional | None | $50.12 | $72.44 | $165.96 |
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 $44.67 Median $44.67 Typical High $51.29 | Professional | 52 · Reduced service | $44.67 | $44.67 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $20.42 | Professional | 53 · Discontinued | $18.20 | $18.20 | $20.42 |
Where Virginia sits
The same service costs 5.9 times more in Texas 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· 39th of 51
$95.50
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.