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 $45.71 Median $52.48 Typical High $144.54 | Facility | None | $45.71 | $52.48 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $52.48 | Professional | None | $44.67 | $50.12 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $302.00 | Facility | None | $61.66 | $61.66 | $302.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $24.55 Median $34.67 Typical High $44.67 | Professional | None | $24.55 | $34.67 | $44.67 |
CareFirst Setting Professional Modifier None Typical Low $44.67 Median $48.98 Typical High $48.98 | Professional | None | $44.67 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $117.49 Typical High $154.88 | Facility | None | $63.10 | $117.49 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $31.62 Typical High $70.79 | Professional | None | $22.91 | $31.62 | $70.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $74.13 Typical High $91.20 | Professional | None | $61.66 | $74.13 | $91.20 |
Medcost Setting Professional Modifier None Typical Low $28.18 Median $57.54 Typical High $67.61 | Professional | None | $28.18 | $57.54 | $67.61 |
Medcost Setting Facility Modifier None Typical Low $28.18 Median $48.98 Typical High $70.79 | Facility | None | $28.18 | $48.98 | $70.79 |
Medcost Setting Professional Modifier None Typical Low $23.99 Median $29.51 Typical High $29.51 | Professional | None | $23.99 | $29.51 | $29.51 |
Sentara Setting Facility Modifier None Typical Low $42.66 Median $72.44 Typical High $10,232.93 | Facility | None | $42.66 | $72.44 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $42.66 Median $75.86 Typical High $10,232.93 | Professional | None | $42.66 | $75.86 | $10,232.93 |
United Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
United Setting Professional Modifier None Typical Low $19.95 Median $28.18 Typical High $39.81 | Professional | None | $19.95 | $28.18 | $39.81 |
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 $22.91 Median $26.30 Typical High $27.54 | Professional | 52 · Reduced service | $22.91 | $26.30 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.47 Typical High $10.96 | Professional | 53 · Discontinued | $9.33 | $10.47 | $10.96 |
Where Virginia sits
The same service costs 6.5 times more in Alaska than in South Carolina. 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· 39th of 51
$44.67
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.