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 $66.07 Median $74.13 Typical High $204.17 | Facility | None | $66.07 | $74.13 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $74.13 Typical High $77.62 | Professional | None | $66.07 | $74.13 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $426.58 | Facility | None | $87.10 | $87.10 | $426.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $52.48 Typical High $64.57 | Professional | None | $35.48 | $52.48 | $64.57 |
CareFirst Setting Professional Modifier None Typical Low $63.10 Median $70.79 Typical High $89.13 | Professional | None | $63.10 | $70.79 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $169.82 Typical High $263.03 | Facility | None | $89.13 | $169.82 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $52.48 Typical High $102.33 | Professional | None | $42.66 | $52.48 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $104.71 Typical High $128.82 | Professional | None | $87.10 | $104.71 | $128.82 |
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 $70.79 Typical High $131.83 | Facility | None | $53.70 | $70.79 | $131.83 |
Medcost Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $117.49 | Professional | None | $54.95 | $54.95 | $117.49 |
Sentara Setting Facility Modifier None Typical Low $74.13 Median $114.82 Typical High $10,232.93 | Facility | None | $74.13 | $114.82 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $74.13 Median $114.82 Typical High $10,232.93 | Professional | None | $74.13 | $114.82 | $10,232.93 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $37.15 Median $46.77 Typical High $87.10 | Professional | None | $37.15 | $46.77 | $87.10 |
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 $33.11 Median $37.15 Typical High $38.90 | Professional | 52 · Reduced service | $33.11 | $37.15 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $14.79 Typical High $15.49 | Professional | 53 · Discontinued | $13.18 | $14.79 | $15.49 |
Where Virginia sits
The same service costs 4.2 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
$67.61
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.