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 $31.62 Median $39.81 Typical High $107.15 | Facility | None | $31.62 | $39.81 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $39.81 | Professional | None | $31.62 | $31.62 | $39.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $204.17 | Facility | None | $41.69 | $41.69 | $204.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $31.62 | Professional | None | $20.42 | $20.42 | $31.62 |
CareFirst Setting Professional Modifier None Typical Low $30.20 Median $33.88 Typical High $39.81 | Professional | None | $30.20 | $33.88 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $100.00 Typical High $165.96 | Facility | None | $42.66 | $100.00 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $34.67 Typical High $81.28 | Professional | None | $25.12 | $34.67 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $39.81 Median $45.71 Typical High $60.26 | Professional | None | $39.81 | $45.71 | $60.26 |
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 $83.18 Median $85.11 Typical High $85.11 | Facility | None | $83.18 | $85.11 | $85.11 |
Medcost Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $75.86 | Professional | None | $33.88 | $33.88 | $75.86 |
Sentara Setting Facility Modifier None Typical Low $39.81 Median $61.66 Typical High $10,232.93 | Facility | None | $39.81 | $61.66 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $38.02 Median $56.23 Typical High $4,570.88 | Professional | None | $38.02 | $56.23 | $4,570.88 |
United Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier None Typical Low $16.60 Median $23.99 Typical High $58.88 | Professional | None | $16.60 | $23.99 | $58.88 |
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 $15.49 Median $15.49 Typical High $19.50 | Professional | 52 · Reduced service | $15.49 | $15.49 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $7.94 | Professional | 53 · Discontinued | $6.31 | $6.31 | $7.94 |
Where Virginia sits
The same service costs 3.6 times more in Texas 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· 45th of 51
$33.88
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.