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 $52.48 Median $66.07 Typical High $181.97 | Facility | None | $52.48 | $66.07 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $66.07 Typical High $89.13 | Professional | None | $52.48 | $66.07 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $346.74 | Facility | None | $70.79 | $70.79 | $346.74 |
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 $50.12 Median $56.23 Typical High $87.10 | Professional | None | $50.12 | $56.23 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $134.90 Typical High $208.93 | Facility | None | $70.79 | $134.90 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $66.07 Typical High $120.23 | Professional | None | $39.81 | $66.07 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $77.62 Typical High $97.72 | Professional | None | $66.07 | $77.62 | $97.72 |
Medcost Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $141.25 | Facility | None | $114.82 | $114.82 | $141.25 |
Medcost Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $87.10 | Professional | None | $56.23 | $56.23 | $87.10 |
Sentara Setting Facility Modifier None Typical Low $63.10 Median $100.00 Typical High $10,232.93 | Facility | None | $63.10 | $100.00 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $70.79 Median $87.10 Typical High $316.23 | Professional | None | $70.79 | $87.10 | $316.23 |
United Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
United Setting Professional Modifier None Typical Low $29.51 Median $41.69 Typical High $100.00 | Professional | None | $29.51 | $41.69 | $100.00 |
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 $26.30 Median $26.30 Typical High $33.11 | Professional | 52 · Reduced service | $26.30 | $26.30 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $13.18 | Professional | 53 · Discontinued | $10.47 | $10.47 | $13.18 |
Where Virginia sits
The same service costs 4.0 times more in Alaska than in Alabama. 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· 37th of 51
$63.10
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.