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 $70.79 Median $87.10 Typical High $239.88 | Facility | None | $70.79 | $87.10 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $87.10 | Professional | None | $70.79 | $70.79 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $467.74 | Facility | None | $95.50 | $95.50 | $467.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $83.18 | Professional | None | $45.71 | $56.23 | $83.18 |
CareFirst Setting Professional Modifier None Typical Low $75.86 Median $85.11 Typical High $100.00 | Professional | None | $75.86 | $85.11 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $186.21 Typical High $323.59 | Facility | None | $95.50 | $186.21 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $181.97 | Professional | None | $50.12 | $70.79 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $104.71 Typical High $131.83 | Professional | None | $89.13 | $104.71 | $131.83 |
Medcost Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $181.97 | Facility | None | $169.82 | $169.82 | $181.97 |
Medcost Setting Professional Modifier None Typical Low $74.13 Median $125.89 Typical High $281.84 | Professional | None | $74.13 | $125.89 | $281.84 |
Sentara Setting Facility Modifier None Typical Low $87.10 Median $154.88 Typical High $10,232.93 | Facility | None | $87.10 | $154.88 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $87.10 Median $134.90 Typical High $7,413.10 | Professional | None | $87.10 | $134.90 | $7,413.10 |
United Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
United Setting Professional Modifier None Typical Low $39.81 Median $56.23 Typical High $144.54 | Professional | None | $39.81 | $56.23 | $144.54 |
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 $35.48 Median $35.48 Typical High $43.65 | Professional | 52 · Reduced service | $35.48 | $35.48 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $17.38 | Professional | 53 · Discontinued | $14.13 | $14.13 | $17.38 |
Where Virginia sits
The same service costs 3.5 times more in Kansas 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· 35th of 51
$87.10
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.