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 $41.69 Median $46.77 Typical High $128.82 | Facility | None | $41.69 | $46.77 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $46.77 Typical High $48.98 | Professional | None | $41.69 | $46.77 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $269.15 | Facility | None | $54.95 | $54.95 | $269.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.39 Median $33.11 Typical High $42.66 | Professional | None | $22.39 | $33.11 | $42.66 |
CareFirst Setting Professional Modifier None Typical Low $39.81 Median $44.67 Typical High $44.67 | Professional | None | $39.81 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $107.15 Typical High $186.21 | Facility | None | $56.23 | $107.15 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $56.23 Typical High $79.43 | Professional | None | $27.54 | $56.23 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $54.95 Median $66.07 Typical High $81.28 | Professional | None | $54.95 | $66.07 | $81.28 |
Medcost Setting Facility Modifier None Typical Low $44.67 Median $54.95 Typical High $100.00 | Facility | None | $44.67 | $54.95 | $100.00 |
Medcost Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Sentara Setting Facility Modifier None Typical Low $38.90 Median $77.62 Typical High $10,232.93 | Facility | None | $38.90 | $77.62 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $38.90 Median $77.62 Typical High $10,232.93 | Professional | None | $38.90 | $77.62 | $10,232.93 |
United Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
United Setting Professional Modifier None Typical Low $23.44 Median $29.51 Typical High $54.95 | Professional | None | $23.44 | $29.51 | $54.95 |
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 $20.89 Median $23.44 Typical High $24.55 | Professional | 52 · Reduced service | $20.89 | $23.44 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $9.33 Typical High $10.00 | Professional | 53 · Discontinued | $8.32 | $9.33 | $10.00 |
Where Virginia sits
The same service costs 4.8 times more in Alaska than in Kentucky. 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· 41st of 51
$41.69
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.