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 $34.67 Median $40.74 Typical High $109.65 | Facility | None | $34.67 | $40.74 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $40.74 | Professional | None | $34.67 | $34.67 | $40.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $229.09 | Facility | None | $46.77 | $46.77 | $229.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $27.54 Typical High $38.02 | Professional | None | $21.38 | $27.54 | $38.02 |
CareFirst Setting Professional Modifier None Typical Low $33.88 Median $37.15 Typical High $43.65 | Professional | None | $33.88 | $37.15 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $91.20 Typical High $323.59 | Facility | None | $47.86 | $91.20 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $33.88 Typical High $79.43 | Professional | None | $23.44 | $33.88 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $44.67 Median $51.29 Typical High $64.57 | Professional | None | $44.67 | $51.29 | $64.57 |
Medcost Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $85.11 | Facility | None | $70.79 | $70.79 | $85.11 |
Medcost Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $52.48 | Professional | None | $34.67 | $34.67 | $52.48 |
Sentara Setting Facility Modifier None Typical Low $41.69 Median $79.43 Typical High $10,232.93 | Facility | None | $41.69 | $79.43 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $42.66 Median $67.61 Typical High $10,232.93 | Professional | None | $42.66 | $67.61 | $10,232.93 |
United Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
United Setting Professional Modifier None Typical Low $19.50 Median $28.18 Typical High $64.57 | Professional | None | $19.50 | $28.18 | $64.57 |
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 $17.38 Median $17.38 Typical High $20.42 | Professional | 52 · Reduced service | $17.38 | $17.38 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $8.13 | Professional | 53 · Discontinued | $6.92 | $6.92 | $8.13 |
Where Virginia sits
The same service costs 8.3 times more in Texas 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· 38th of 51
$40.74
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.