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 $60.26 Typical High $165.96 | Facility | None | $53.70 | $60.26 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $60.26 Typical High $63.10 | Professional | None | $53.70 | $60.26 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $346.74 | Facility | None | $70.79 | $70.79 | $346.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.18 Median $42.66 Typical High $52.48 | Professional | None | $28.18 | $42.66 | $52.48 |
CareFirst Setting Professional Modifier None Typical Low $51.29 Median $57.54 Typical High $72.44 | Professional | None | $51.29 | $57.54 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $138.04 Typical High $213.80 | Facility | None | $72.44 | $138.04 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $43.65 Typical High $81.28 | Professional | None | $34.67 | $43.65 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $104.71 | Professional | None | $70.79 | $85.11 | $104.71 |
Medcost Setting Professional Modifier None Typical Low $43.65 Median $87.10 Typical High $102.33 | Professional | None | $43.65 | $87.10 | $102.33 |
Medcost Setting Facility Modifier None Typical Low $43.65 Median $57.54 Typical High $107.15 | Facility | None | $43.65 | $57.54 | $107.15 |
Medcost Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $81.28 | Professional | None | $44.67 | $44.67 | $81.28 |
Sentara Setting Facility Modifier None Typical Low $57.54 Median $89.13 Typical High $10,232.93 | Facility | None | $57.54 | $89.13 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $57.54 Median $89.13 Typical High $10,232.93 | Professional | None | $57.54 | $89.13 | $10,232.93 |
United Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
United Setting Professional Modifier None Typical Low $30.20 Median $37.15 Typical High $70.79 | Professional | None | $30.20 | $37.15 | $70.79 |
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 $30.20 Typical High $31.62 | Professional | 52 · Reduced service | $26.92 | $30.20 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.02 Typical High $12.59 | Professional | 53 · Discontinued | $10.72 | $12.02 | $12.59 |
Where Virginia sits
The same service costs 3.5 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· 38th 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.