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 $64.57 Median $128.82 Typical High $218.78 | Facility | None | $64.57 | $128.82 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $69.18 Typical High $112.20 | Professional | None | $64.57 | $69.18 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $416.87 | Facility | None | $85.11 | $85.11 | $416.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $64.57 | Professional | None | $41.69 | $41.69 | $64.57 |
CareFirst Setting Professional Modifier None Typical Low $61.66 Median $67.61 Typical High $107.15 | Professional | None | $61.66 | $67.61 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $204.17 Typical High $338.84 | Facility | None | $87.10 | $204.17 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $69.18 Typical High $165.96 | Professional | None | $51.29 | $69.18 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $93.33 Typical High $125.89 | Professional | None | $81.28 | $93.33 | $125.89 |
Medcost Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Medcost Setting Facility Modifier None Typical Low $169.82 Median $173.78 Typical High $173.78 | Facility | None | $169.82 | $173.78 | $173.78 |
Medcost Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $154.88 | Professional | None | $67.61 | $67.61 | $154.88 |
Sentara Setting Facility Modifier None Typical Low $69.18 Median $120.23 Typical High $10,232.93 | Facility | None | $69.18 | $120.23 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $72.44 Median $107.15 Typical High $389.05 | Professional | None | $72.44 | $107.15 | $389.05 |
United Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
United Setting Professional Modifier None Typical Low $35.48 Median $51.29 Typical High $138.04 | Professional | None | $35.48 | $51.29 | $138.04 |
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 $31.62 Median $31.62 Typical High $39.81 | Professional | 52 · Reduced service | $31.62 | $31.62 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $16.22 | Professional | 53 · Discontinued | $12.88 | $12.88 | $16.22 |
Where Virginia sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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· 41st of 51
$70.79
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.