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 $45.71 Median $56.23 Typical High $123.03 | Facility | None | $45.71 | $56.23 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $66.07 | Professional | None | $45.71 | $45.71 | $66.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $223.87 Typical High $281.84 | Facility | None | $173.78 | $223.87 | $281.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $24.55 Typical High $35.48 | Professional | None | $18.20 | $24.55 | $35.48 |
CareFirst Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $45.71 | Professional | None | $35.48 | $35.48 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $54.95 Typical High $85.11 | Facility | None | $24.55 | $54.95 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $35.48 Typical High $46.77 | Professional | None | $17.78 | $35.48 | $46.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $35.48 Median $42.66 Typical High $52.48 | Professional | None | $35.48 | $42.66 | $52.48 |
Medcost Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $69.18 | Facility | None | $35.48 | $35.48 | $69.18 |
Medcost Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Sentara Setting Facility Modifier None Typical Low $31.62 Median $45.71 Typical High $208.93 | Facility | None | $31.62 | $45.71 | $208.93 |
Sentara Setting Professional Modifier None Typical Low $31.62 Median $45.71 Typical High $4,570.88 | Professional | None | $31.62 | $45.71 | $4,570.88 |
United Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
United Setting Professional Modifier None Typical Low $18.62 Median $22.39 Typical High $44.67 | Professional | None | $18.62 | $22.39 | $44.67 |
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 $22.39 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $9.12 | $9.12 | $9.12 |
Where Virginia sits
The same service costs 4.5 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· 37th of 51
$35.48
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.