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 $58.88 Median $67.61 Typical High $181.97 | Facility | None | $58.88 | $67.61 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $67.61 Typical High $70.79 | Professional | None | $58.88 | $67.61 | $70.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $389.05 | Facility | None | $79.43 | $79.43 | $389.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $46.77 Typical High $57.54 | Professional | None | $31.62 | $46.77 | $57.54 |
CareFirst Setting Professional Modifier None Typical Low $54.95 Median $63.10 Typical High $63.10 | Professional | None | $54.95 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $134.90 Typical High $199.53 | Facility | None | $79.43 | $134.90 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $39.81 Typical High $91.20 | Professional | None | $26.30 | $39.81 | $91.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $93.33 Typical High $117.49 | Professional | None | $79.43 | $93.33 | $117.49 |
Medcost Setting Professional Modifier None Typical Low $29.51 Median $66.07 Typical High $77.62 | Professional | None | $29.51 | $66.07 | $77.62 |
Medcost Setting Facility Modifier None Typical Low $33.11 Median $63.10 Typical High $81.28 | Facility | None | $33.11 | $63.10 | $81.28 |
Medcost Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $66.07 | Professional | None | $33.11 | $33.11 | $66.07 |
Sentara Setting Facility Modifier None Typical Low $54.95 Median $107.15 Typical High $10,232.93 | Facility | None | $54.95 | $107.15 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $54.95 Median $109.65 Typical High $10,232.93 | Professional | None | $54.95 | $109.65 | $10,232.93 |
United Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
United Setting Professional Modifier None Typical Low $23.44 Median $35.48 Typical High $54.95 | Professional | None | $23.44 | $35.48 | $54.95 |
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 $29.51 Median $33.11 Typical High $34.67 | Professional | 52 · Reduced service | $29.51 | $33.11 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $13.49 Typical High $14.13 | Professional | 53 · Discontinued | $11.75 | $13.49 | $14.13 |
Where Virginia sits
The same service costs 4.9 times more in Alaska than in Kansas. 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· 32nd of 51
$57.54
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.