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 $30.90 Median $72.44 Typical High $97.72 | Facility | None | $30.90 | $72.44 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $37.15 | Professional | None | $30.90 | $30.90 | $37.15 |
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 $17.38 Median $17.38 Typical High $28.84 | Professional | None | $17.38 | $17.38 | $28.84 |
CareFirst Setting Professional Modifier None Typical Low $30.20 Median $33.11 Typical High $43.65 | Professional | None | $30.20 | $33.11 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $100.00 Typical High $141.25 | Facility | None | $42.66 | $100.00 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $30.20 Typical High $70.79 | Professional | None | $22.91 | $30.20 | $70.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $39.81 Median $45.71 Typical High $61.66 | Professional | None | $39.81 | $45.71 | $61.66 |
Medcost Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Medcost Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $74.13 | Facility | None | $72.44 | $72.44 | $74.13 |
Medcost Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $64.57 | Professional | None | $28.18 | $28.18 | $64.57 |
Sentara Setting Facility Modifier None Typical Low $38.90 Median $60.26 Typical High $10,232.93 | Facility | None | $38.90 | $60.26 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $37.15 Median $56.23 Typical High $4,570.88 | Professional | None | $37.15 | $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 $17.38 Median $25.12 Typical High $57.54 | Professional | None | $17.38 | $25.12 | $57.54 |
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 $17.78 | Professional | 52 · Reduced service | $15.49 | $15.49 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $7.08 | Professional | 53 · Discontinued | $6.31 | $6.31 | $7.08 |
Where Virginia sits
The same service costs 3.3 times more in Alaska than in Florida. 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· 43rd of 51
$33.11
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.