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 $81.28 Median $102.33 Typical High $281.84 | Facility | None | $81.28 | $102.33 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $102.33 | Professional | None | $81.28 | $81.28 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $537.03 | Facility | None | $109.65 | $109.65 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $45.71 Median $66.07 Typical High $89.13 | Professional | None | $45.71 | $66.07 | $89.13 |
CareFirst Setting Professional Modifier None Typical Low $79.43 Median $87.10 Typical High $102.33 | Professional | None | $79.43 | $87.10 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $213.80 Typical High $380.19 | Facility | None | $112.20 | $213.80 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $81.28 Typical High $213.80 | Professional | None | $60.26 | $81.28 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $120.23 Typical High $151.36 | Professional | None | $104.71 | $120.23 | $151.36 |
Medcost Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $218.78 | Facility | None | $199.53 | $199.53 | $218.78 |
Medcost Setting Professional Modifier None Typical Low $87.10 Median $147.91 Typical High $380.19 | Professional | None | $87.10 | $147.91 | $380.19 |
Sentara Setting Facility Modifier None Typical Low $102.33 Median $186.21 Typical High $10,232.93 | Facility | None | $102.33 | $186.21 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $102.33 Median $158.49 Typical High $7,413.10 | Professional | None | $102.33 | $158.49 | $7,413.10 |
United Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
United Setting Professional Modifier None Typical Low $45.71 Median $66.07 Typical High $169.82 | Professional | None | $45.71 | $66.07 | $169.82 |
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 $40.74 Median $40.74 Typical High $51.29 | Professional | 52 · Reduced service | $40.74 | $40.74 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $20.42 | Professional | 53 · Discontinued | $16.22 | $16.22 | $20.42 |
Where Virginia sits
The same service costs 3.9 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· 33rd of 51
$97.72
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.