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 $41.69 Median $47.86 Typical High $128.82 | Facility | None | $41.69 | $47.86 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $47.86 | Professional | None | $41.69 | $41.69 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $275.42 | Facility | None | $56.23 | $56.23 | $275.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $38.90 | Professional | None | $22.39 | $22.39 | $38.90 |
CareFirst Setting Professional Modifier None Typical Low $39.81 Median $44.67 Typical High $51.29 | Professional | None | $39.81 | $44.67 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $120.23 Typical High $173.78 | Facility | None | $56.23 | $120.23 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $35.48 Typical High $95.50 | Professional | None | $27.54 | $35.48 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $61.66 Typical High $77.62 | Professional | None | $52.48 | $61.66 | $77.62 |
Medcost Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Medcost Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $100.00 | Facility | None | $85.11 | $85.11 | $100.00 |
Medcost Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $75.86 | Professional | None | $36.31 | $36.31 | $75.86 |
Sentara Setting Facility Modifier None Typical Low $47.86 Median $75.86 Typical High $10,232.93 | Facility | None | $47.86 | $75.86 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $46.77 Median $69.18 Typical High $4,570.88 | Professional | None | $46.77 | $69.18 | $4,570.88 |
United Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
United Setting Professional Modifier None Typical Low $16.60 Median $28.18 Typical High $66.07 | Professional | None | $16.60 | $28.18 | $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 $20.89 Median $20.89 Typical High $23.44 | Professional | 52 · Reduced service | $20.89 | $20.89 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $9.55 | Professional | 53 · Discontinued | $8.32 | $8.32 | $9.55 |
Where Virginia sits
The same service costs 3.8 times more in Alaska than in Delaware. 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· 44th of 51
$41.69
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.