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 $104.71 Median $104.71 Typical High $288.40 | Facility | None | $104.71 | $104.71 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $512.86 Typical High $645.65 | Facility | None | $398.11 | $512.86 | $645.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $44.67 Typical High $58.88 | Professional | None | $8.91 | $44.67 | $58.88 |
CareFirst Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $104.71 | Professional | None | $79.43 | $79.43 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $204.17 | Facility | None | $72.44 | $72.44 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $104.71 Typical High $114.82 | Professional | None | $75.86 | $104.71 | $114.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $95.50 Typical High $117.49 | Professional | None | $79.43 | $95.50 | $117.49 |
Medcost Setting Facility Modifier None Typical Low $79.43 Median $104.71 Typical High $162.18 | Facility | None | $79.43 | $104.71 | $162.18 |
Medcost Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Sentara Setting Facility Modifier None Typical Low $56.23 Median $87.10 Typical High $4,570.88 | Facility | None | $56.23 | $87.10 | $4,570.88 |
Sentara Setting Professional Modifier None Typical Low $56.23 Median $87.10 Typical High $4,570.88 | Professional | None | $56.23 | $87.10 | $4,570.88 |
United Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
United Setting Professional Modifier None Typical Low $43.65 Median $51.29 Typical High $104.71 | Professional | None | $43.65 | $51.29 | $104.71 |
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 $52.48 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Where Virginia sits
The same service costs 24.0 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
$58.88
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.