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 $52.48 Median $58.88 Typical High $162.18 | Facility | None | $52.48 | $58.88 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $58.88 Typical High $69.18 | Professional | None | $52.48 | $58.88 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $338.84 | Facility | None | $69.18 | $69.18 | $338.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $41.69 Typical High $51.29 | Professional | None | $27.54 | $41.69 | $51.29 |
CareFirst Setting Professional Modifier None Typical Low $56.23 Median $63.10 Typical High $63.10 | Professional | None | $56.23 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $125.89 Typical High $229.09 | Facility | None | $70.79 | $125.89 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $69.18 Typical High $100.00 | Professional | None | $34.67 | $69.18 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $83.18 Typical High $102.33 | Professional | None | $69.18 | $83.18 | $102.33 |
Medcost Setting Facility Modifier None Typical Low $56.23 Median $69.18 Typical High $245.47 | Facility | None | $56.23 | $69.18 | $245.47 |
Medcost Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Sentara Setting Facility Modifier None Typical Low $48.98 Median $95.50 Typical High $10,232.93 | Facility | None | $48.98 | $95.50 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $48.98 Median $95.50 Typical High $10,232.93 | Professional | None | $48.98 | $95.50 | $10,232.93 |
United Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
United Setting Professional Modifier None Typical Low $29.51 Median $36.31 Typical High $69.18 | Professional | None | $29.51 | $36.31 | $69.18 |
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 $26.30 Median $29.51 Typical High $30.90 | Professional | 52 · Reduced service | $26.30 | $29.51 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $11.75 Typical High $12.30 | Professional | 53 · Discontinued | $10.47 | $11.75 | $12.30 |
Where Virginia sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 45th of 51
$52.48
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.