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 $79.43 Median $91.20 Typical High $245.47 | Facility | None | $79.43 | $91.20 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $91.20 Typical High $95.50 | Professional | None | $79.43 | $91.20 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $524.81 | Facility | None | $107.15 | $107.15 | $524.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $63.10 Typical High $77.62 | Professional | None | $42.66 | $63.10 | $77.62 |
CareFirst Setting Professional Modifier None Typical Low $75.86 Median $85.11 Typical High $89.13 | Professional | None | $75.86 | $85.11 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $208.93 Typical High $269.15 | Facility | None | $107.15 | $208.93 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $63.10 Typical High $123.03 | Professional | None | $43.65 | $63.10 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $128.82 Typical High $158.49 | Professional | None | $107.15 | $128.82 | $158.49 |
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 $85.11 Typical High $131.83 | Facility | None | $53.70 | $85.11 | $131.83 |
Medcost Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $97.72 | Professional | None | $53.70 | $53.70 | $97.72 |
Sentara Setting Facility Modifier None Typical Low $87.10 Median $144.54 Typical High $10,232.93 | Facility | None | $87.10 | $144.54 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $87.10 Median $147.91 Typical High $10,232.93 | Professional | None | $87.10 | $147.91 | $10,232.93 |
United Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
United Setting Professional Modifier None Typical Low $38.02 Median $52.48 Typical High $89.13 | Professional | None | $38.02 | $52.48 | $89.13 |
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 $39.81 Median $44.67 Typical High $46.77 | Professional | 52 · Reduced service | $39.81 | $44.67 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $18.20 Typical High $19.05 | Professional | 53 · Discontinued | $15.85 | $18.20 | $19.05 |
Where Virginia sits
The same service costs 6.2 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· 34th of 51
$81.28
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.