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 $61.66 Median $114.82 Typical High $190.55 | Facility | None | $61.66 | $114.82 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $75.86 | Professional | None | $61.66 | $69.18 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $398.11 | Facility | None | $81.28 | $81.28 | $398.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $48.98 Typical High $60.26 | Professional | None | $33.88 | $48.98 | $60.26 |
CareFirst Setting Professional Modifier None Typical Low $58.88 Median $66.07 Typical High $91.20 | Professional | None | $58.88 | $66.07 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $158.49 Typical High $275.42 | Facility | None | $83.18 | $158.49 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $57.54 Typical High $120.23 | Professional | None | $40.74 | $57.54 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $97.72 Typical High $120.23 | Professional | None | $81.28 | $97.72 | $120.23 |
Medcost Setting Facility Modifier None Typical Low $40.74 Median $69.18 Typical High $128.82 | Facility | None | $40.74 | $69.18 | $128.82 |
Medcost Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Sentara Setting Facility Modifier None Typical Low $67.61 Median $102.33 Typical High $7,413.10 | Facility | None | $67.61 | $102.33 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $67.61 Median $102.33 Typical High $7,413.10 | Professional | None | $67.61 | $102.33 | $7,413.10 |
United Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
United Setting Professional Modifier None Typical Low $34.67 Median $42.66 Typical High $81.28 | Professional | None | $34.67 | $42.66 | $81.28 |
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 $30.90 Median $34.67 Typical High $36.31 | Professional | 52 · Reduced service | $30.90 | $34.67 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $13.80 Typical High $14.45 | Professional | 53 · Discontinued | $12.30 | $13.80 | $14.45 |
Where Virginia sits
The same service costs 4.9 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
$66.07
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.