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 $95.50 Median $107.15 Typical High $295.12 | Facility | None | $95.50 | $107.15 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $107.15 | Professional | None | $95.50 | $95.50 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $630.96 | Facility | None | $128.82 | $128.82 | $630.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $74.13 Typical High $100.00 | Professional | None | $54.95 | $74.13 | $100.00 |
CareFirst Setting Professional Modifier None Typical Low $102.33 Median $114.82 Typical High $165.96 | Professional | None | $102.33 | $114.82 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $251.19 Typical High $426.58 | Facility | None | $128.82 | $251.19 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $229.09 | Professional | None | $63.10 | $91.20 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $177.83 | Professional | None | $120.23 | $141.25 | $177.83 |
Medcost Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $229.09 | Facility | None | $204.17 | $204.17 | $229.09 |
Medcost Setting Professional Modifier None Typical Low $89.13 Median $151.36 Typical High $512.86 | Professional | None | $89.13 | $151.36 | $512.86 |
Sentara Setting Facility Modifier None Typical Low $114.82 Median $218.78 Typical High $10,232.93 | Facility | None | $114.82 | $218.78 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $117.49 Median $181.97 Typical High $7,413.10 | Professional | None | $117.49 | $181.97 | $7,413.10 |
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 $53.70 Median $75.86 Typical High $177.83 | Professional | None | $53.70 | $75.86 | $177.83 |
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 $47.86 Median $47.86 Typical High $53.70 | Professional | 52 · Reduced service | $47.86 | $47.86 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $21.88 | Professional | 53 · Discontinued | $19.05 | $19.05 | $21.88 |
Where Virginia sits
The same service costs 4.6 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· 36th of 51
$115
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.