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 $107.15 Median $151.36 Typical High $331.13 | Facility | None | $107.15 | $151.36 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $117.49 Typical High $169.82 | Professional | None | $107.15 | $117.49 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $691.83 | Facility | None | $141.25 | $141.25 | $691.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $97.72 | Professional | None | $57.54 | $57.54 | $97.72 |
CareFirst Setting Professional Modifier None Typical Low $102.33 Median $114.82 Typical High $134.90 | Professional | None | $102.33 | $114.82 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $251.19 Typical High $354.81 | Facility | None | $144.54 | $251.19 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $89.13 Typical High $229.09 | Professional | None | $69.18 | $89.13 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $158.49 Typical High $199.53 | Professional | None | $134.90 | $158.49 | $199.53 |
Medcost Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Medcost Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $141.25 | Professional | None | $93.33 | $93.33 | $141.25 |
Sentara Setting Facility Modifier None Typical Low $107.15 Median $181.97 Typical High $10,232.93 | Facility | None | $107.15 | $181.97 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $645.65 | Professional | None | $128.82 | $162.18 | $645.65 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
United Setting Professional Modifier None Typical Low $60.26 Median $85.11 Typical High $199.53 | Professional | None | $60.26 | $85.11 | $199.53 |
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 $53.70 Median $53.70 Typical High $60.26 | Professional | 52 · Reduced service | $53.70 | $53.70 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $23.99 | Professional | 53 · Discontinued | $21.38 | $21.38 | $23.99 |
Where Virginia sits
The same service costs 5.1 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· 38th of 51
$115
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.