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 $141.25 Median $162.18 Typical High $436.52 | Facility | None | $141.25 | $162.18 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $162.18 Typical High $169.82 | Professional | None | $141.25 | $162.18 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $933.25 | Facility | None | $190.55 | $190.55 | $933.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $107.15 Typical High $138.04 | Professional | None | $75.86 | $107.15 | $138.04 |
CareFirst Setting Professional Modifier None Typical Low $46.77 Median $151.36 Typical High $151.36 | Professional | None | $46.77 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $218.78 Typical High $467.74 | Facility | None | $128.82 | $218.78 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $97.72 Typical High $218.78 | Professional | None | $34.67 | $97.72 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $229.09 Typical High $281.84 | Professional | None | $190.55 | $229.09 | $281.84 |
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 $107.15 Typical High $190.55 | Facility | None | $43.65 | $107.15 | $190.55 |
Medcost Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $89.13 | Professional | None | $43.65 | $43.65 | $89.13 |
Sentara Setting Facility Modifier None Typical Low $75.86 Median $234.42 Typical High $10,232.93 | Facility | None | $75.86 | $234.42 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $79.43 Median $234.42 Typical High $10,232.93 | Professional | None | $79.43 | $234.42 | $10,232.93 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None Typical Low $20.42 Median $79.43 Typical High $114.82 | Professional | None | $20.42 | $79.43 | $114.82 |
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 $70.79 Median $81.28 Typical High $85.11 | Professional | 52 · Reduced service | $70.79 | $81.28 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $32.36 Typical High $33.88 | Professional | 53 · Discontinued | $28.18 | $32.36 | $33.88 |
Where Virginia sits
The same service costs 11.2 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· 31st of 51
$132
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.