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 $32.36 Median $60.26 Typical High $109.65 | Facility | None | $32.36 | $60.26 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $51.29 | Professional | None | $32.36 | $33.88 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $208.93 | Facility | None | $42.66 | $42.66 | $208.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $32.36 | Professional | None | $21.38 | $21.38 | $32.36 |
CareFirst Setting Professional Modifier None Typical Low $30.90 Median $34.67 Typical High $39.81 | Professional | None | $30.90 | $34.67 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $102.33 Typical High $169.82 | Facility | None | $43.65 | $102.33 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $35.48 Typical High $83.18 | Professional | None | $25.70 | $35.48 | $83.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $46.77 Typical High $60.26 | Professional | None | $40.74 | $46.77 | $60.26 |
Medcost Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Medcost Setting Facility Modifier None Typical Low $85.11 Median $87.10 Typical High $87.10 | Facility | None | $85.11 | $87.10 | $87.10 |
Medcost Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $77.62 | Professional | None | $34.67 | $34.67 | $77.62 |
Sentara Setting Facility Modifier None Typical Low $40.74 Median $63.10 Typical High $10,232.93 | Facility | None | $40.74 | $63.10 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $39.81 Median $56.23 Typical High $4,570.88 | Professional | None | $39.81 | $56.23 | $4,570.88 |
United Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
United Setting Professional Modifier None Typical Low $16.60 Median $24.55 Typical High $60.26 | Professional | None | $16.60 | $24.55 | $60.26 |
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 $16.22 Median $16.22 Typical High $20.42 | Professional | 52 · Reduced service | $16.22 | $16.22 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $8.13 | Professional | 53 · Discontinued | $6.46 | $6.46 | $8.13 |
Where Virginia sits
The same service costs 4.5 times more in Kansas than in Maryland. 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· 48th of 51
$34.67
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.