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 $87.10 Median $89.13 Typical High $239.88 | Facility | None | $87.10 | $89.13 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $87.10 Typical High $89.13 | Professional | None | $69.18 | $87.10 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $724.44 Typical High $912.01 | Facility | None | $575.44 | $724.44 | $912.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $41.69 Typical High $77.62 | Professional | None | $25.12 | $41.69 | $77.62 |
CareFirst Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $186.21 Typical High $288.40 | Facility | None | $72.44 | $186.21 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $58.88 Typical High $93.33 | Professional | None | $30.90 | $58.88 | $93.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $100.00 Typical High $104.71 | Professional | None | $69.18 | $100.00 | $104.71 |
Medcost Setting Facility Modifier None Typical Low $38.90 Median $69.18 Typical High $87.10 | Facility | None | $38.90 | $69.18 | $87.10 |
Medcost Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $47.86 | Professional | None | $38.90 | $38.90 | $47.86 |
Sentara Setting Facility Modifier None Typical Low $48.98 Median $117.49 Typical High $10,232.93 | Facility | None | $48.98 | $117.49 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $48.98 Median $117.49 Typical High $10,232.93 | Professional | None | $48.98 | $117.49 | $10,232.93 |
United Setting Facility Modifier None Typical Low $323.59 Median $354.81 Typical High $794.33 | Facility | None | $323.59 | $354.81 | $794.33 |
United Setting Professional Modifier None Typical Low $32.36 Median $48.98 Typical High $66.07 | Professional | None | $32.36 | $48.98 | $66.07 |
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 $34.67 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $34.67 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $17.38 Typical High $17.78 | Professional | 53 · Discontinued | $13.80 | $17.38 | $17.78 |
Where Virginia sits
The same service costs 10.2 times more in Alaska than in Hawaii. 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
$64.57
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.