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 $30.20 Median $51.29 Typical High $95.50 | Facility | None | $30.20 | $51.29 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $33.11 Typical High $56.23 | Professional | None | $30.20 | $33.11 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $199.53 | Facility | None | $40.74 | $40.74 | $199.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $28.18 | Professional | None | $17.38 | $17.38 | $28.18 |
CareFirst Setting Professional Modifier None Typical Low $29.51 Median $32.36 Typical High $43.65 | Professional | None | $29.51 | $32.36 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $79.43 Typical High $134.90 | Facility | None | $41.69 | $79.43 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $28.84 Typical High $69.18 | Professional | None | $22.39 | $28.84 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $44.67 Typical High $56.23 | Professional | None | $38.90 | $44.67 | $56.23 |
Medcost Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $72.44 | Facility | None | $63.10 | $63.10 | $72.44 |
Medcost Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $47.86 | Professional | None | $28.18 | $28.18 | $47.86 |
Sentara Setting Facility Modifier None Typical Low $33.11 Median $54.95 Typical High $10,232.93 | Facility | None | $33.11 | $54.95 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $37.15 Median $47.86 Typical High $177.83 | Professional | None | $37.15 | $47.86 | $177.83 |
United Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
United Setting Professional Modifier None Typical Low $16.98 Median $24.55 Typical High $56.23 | Professional | None | $16.98 | $24.55 | $56.23 |
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 $15.14 Median $15.14 Typical High $17.38 | Professional | 52 · Reduced service | $15.14 | $15.14 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.92 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.92 |
Where Virginia sits
The same service costs 3.5 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· 44th of 51
$32.36
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.