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 $72.44 Median $134.90 Typical High $223.87 | Facility | None | $72.44 | $134.90 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $81.28 Typical High $134.90 | Professional | None | $72.44 | $81.28 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $467.74 | Facility | None | $95.50 | $95.50 | $467.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $70.79 | Professional | None | $39.81 | $57.54 | $70.79 |
CareFirst Setting Professional Modifier None Typical Low $69.18 Median $75.86 Typical High $104.71 | Professional | None | $69.18 | $75.86 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $186.21 Typical High $323.59 | Facility | None | $97.72 | $186.21 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $66.07 Typical High $141.25 | Professional | None | $47.86 | $66.07 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $95.50 Median $114.82 Typical High $141.25 | Professional | None | $95.50 | $114.82 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $64.57 Median $81.28 Typical High $147.91 | Facility | None | $64.57 | $81.28 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Sentara Setting Facility Modifier None Typical Low $79.43 Median $120.23 Typical High $7,413.10 | Facility | None | $79.43 | $120.23 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $79.43 Median $120.23 Typical High $7,413.10 | Professional | None | $79.43 | $120.23 | $7,413.10 |
United Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $95.50 | Professional | None | $39.81 | $50.12 | $95.50 |
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 $35.48 Median $40.74 Typical High $42.66 | Professional | 52 · Reduced service | $35.48 | $40.74 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $16.22 Typical High $16.98 | Professional | 53 · Discontinued | $14.45 | $16.22 | $16.98 |
Where Virginia sits
The same service costs 5.4 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· 40th of 51
$75.86
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.