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 $60.26 Median $117.49 Typical High $173.78 | Facility | None | $60.26 | $117.49 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $58.88 Typical High $60.26 | Professional | None | $47.86 | $58.88 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $316.23 | Facility | None | $64.57 | $64.57 | $316.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $38.90 Typical High $48.98 | Professional | None | $31.62 | $38.90 | $48.98 |
CareFirst Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $89.13 | Professional | None | $46.77 | $51.29 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $154.88 Typical High $251.19 | Facility | None | $66.07 | $154.88 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $47.86 Typical High $74.13 | Professional | None | $35.48 | $47.86 | $74.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $77.62 Typical High $95.50 | Professional | None | $64.57 | $77.62 | $95.50 |
Medcost Setting Professional Modifier None Typical Low $53.70 Median $107.15 Typical High $125.89 | Professional | None | $53.70 | $107.15 | $125.89 |
Medcost Setting Facility Modifier None Typical Low $53.70 Median $58.88 Typical High $131.83 | Facility | None | $53.70 | $58.88 | $131.83 |
Medcost Setting Professional Modifier None Typical Low $30.90 Median $54.95 Typical High $54.95 | Professional | None | $30.90 | $54.95 | $54.95 |
Sentara Setting Facility Modifier None Typical Low $44.67 Median $91.20 Typical High $10,232.93 | Facility | None | $44.67 | $91.20 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $44.67 Median $91.20 Typical High $10,232.93 | Professional | None | $44.67 | $91.20 | $10,232.93 |
United Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
United Setting Professional Modifier None Typical Low $26.92 Median $38.90 Typical High $67.61 | Professional | None | $26.92 | $38.90 | $67.61 |
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 $23.99 Median $29.51 Typical High $30.20 | Professional | 52 · Reduced service | $23.99 | $29.51 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $11.75 Typical High $12.30 | Professional | 53 · Discontinued | $9.55 | $11.75 | $12.30 |
Where Virginia sits
The same service costs 3.8 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· 45th of 51
$51.29
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.