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 $53.70 Median $61.66 Typical High $169.82 | Facility | None | $53.70 | $61.66 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $58.88 Typical High $64.57 | Professional | None | $52.48 | $58.88 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $354.81 | Facility | None | $72.44 | $72.44 | $354.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $42.66 Typical High $52.48 | Professional | None | $28.84 | $42.66 | $52.48 |
CareFirst Setting Professional Modifier None Typical Low $52.48 Median $57.54 Typical High $57.54 | Professional | None | $52.48 | $57.54 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $120.23 Typical High $181.97 | Facility | None | $74.13 | $120.23 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $53.70 Typical High $104.71 | Professional | None | $33.11 | $53.70 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $72.44 Median $87.10 Typical High $107.15 | Professional | None | $72.44 | $87.10 | $107.15 |
Medcost Setting Facility Modifier None Typical Low $46.77 Median $61.66 Typical High $97.72 | Facility | None | $46.77 | $61.66 | $97.72 |
Medcost Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Sentara Setting Facility Modifier None Typical Low $52.48 Median $85.11 Typical High $7,413.10 | Facility | None | $52.48 | $85.11 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $52.48 Median $85.11 Typical High $7,413.10 | Professional | None | $52.48 | $85.11 | $7,413.10 |
United Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
United Setting Professional Modifier None Typical Low $30.20 Median $38.02 Typical High $72.44 | Professional | None | $30.20 | $38.02 | $72.44 |
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 $26.92 Median $30.90 Typical High $32.36 | Professional | 52 · Reduced service | $26.92 | $30.90 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.30 Typical High $12.88 | Professional | 53 · Discontinued | $10.72 | $12.30 | $12.88 |
Where Virginia sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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
$54.95
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.