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 $102.33 Median $117.49 Typical High $316.23 | Facility | None | $102.33 | $117.49 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $112.20 Typical High $144.54 | Professional | None | $102.33 | $112.20 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $676.08 | Facility | None | $138.04 | $138.04 | $676.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $46.77 Median $67.61 Typical High $95.50 | Professional | None | $46.77 | $67.61 | $95.50 |
CareFirst Setting Professional Modifier None Typical Low $97.72 Median $109.65 Typical High $128.82 | Professional | None | $97.72 | $109.65 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $239.88 Typical High $346.74 | Facility | None | $138.04 | $239.88 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $97.72 Typical High $234.42 | Professional | None | $67.61 | $97.72 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $190.55 | Professional | None | $128.82 | $151.36 | $190.55 |
Medcost Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $245.47 | Facility | None | $181.97 | $181.97 | $245.47 |
Medcost Setting Professional Modifier None Typical Low $89.13 Median $138.04 Typical High $323.59 | Professional | None | $89.13 | $138.04 | $323.59 |
Sentara Setting Facility Modifier None Typical Low $97.72 Median $199.53 Typical High $10,232.93 | Facility | None | $97.72 | $199.53 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $117.49 Median $186.21 Typical High $10,232.93 | Professional | None | $117.49 | $186.21 | $10,232.93 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
United Setting Professional Modifier None Typical Low $57.54 Median $81.28 Typical High $190.55 | Professional | None | $57.54 | $81.28 | $190.55 |
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 $51.29 Median $51.29 Typical High $58.88 | Professional | 52 · Reduced service | $51.29 | $51.29 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $23.44 | Professional | 53 · Discontinued | $20.42 | $20.42 | $23.44 |
Where Virginia sits
The same service costs 4.9 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· 35th of 51
$110
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.