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 $37.15 Median $46.77 Typical High $128.82 | Facility | None | $37.15 | $46.77 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $46.77 | Professional | None | $37.15 | $37.15 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $245.47 | Facility | None | $50.12 | $50.12 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $24.55 Median $30.20 Typical High $44.67 | Professional | None | $24.55 | $30.20 | $44.67 |
CareFirst Setting Professional Modifier None Typical Low $39.81 Median $44.67 Typical High $52.48 | Professional | None | $39.81 | $44.67 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $95.50 Typical High $173.78 | Facility | None | $50.12 | $95.50 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $37.15 Typical High $97.72 | Professional | None | $26.92 | $37.15 | $97.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $54.95 Typical High $69.18 | Professional | None | $46.77 | $54.95 | $69.18 |
Medcost Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $100.00 | Facility | None | $91.20 | $91.20 | $100.00 |
Medcost Setting Professional Modifier None Typical Low $39.81 Median $67.61 Typical High $223.87 | Professional | None | $39.81 | $67.61 | $223.87 |
Sentara Setting Facility Modifier None Typical Low $46.77 Median $85.11 Typical High $10,232.93 | Facility | None | $46.77 | $85.11 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $45.71 Median $72.44 Typical High $10,232.93 | Professional | None | $45.71 | $72.44 | $10,232.93 |
United Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
United Setting Professional Modifier None Typical Low $20.89 Median $29.51 Typical High $77.62 | Professional | None | $20.89 | $29.51 | $77.62 |
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 $18.62 Median $18.62 Typical High $23.44 | Professional | 52 · Reduced service | $18.62 | $18.62 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $9.33 | Professional | 53 · Discontinued | $7.41 | $7.41 | $9.33 |
Where Virginia sits
The same service costs 5.8 times more in Texas than in New Mexico. 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· 35th of 51
$46.77
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.