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 $141.25 Median $177.83 Typical High $389.05 | Facility | None | $141.25 | $177.83 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $239.88 | Professional | None | $141.25 | $141.25 | $239.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $549.54 Median $691.83 Typical High $891.25 | Facility | None | $549.54 | $691.83 | $891.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $141.25 Typical High $190.55 | Professional | None | $97.72 | $141.25 | $190.55 |
CareFirst Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $223.87 Typical High $338.84 | Facility | None | $144.54 | $223.87 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $123.03 Typical High $245.47 | Professional | None | $72.44 | $123.03 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $158.49 Typical High $199.53 | Professional | None | $134.90 | $158.49 | $199.53 |
Medcost Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Medcost Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Sentara Setting Facility Modifier None Typical Low $107.15 Median $181.97 Typical High $10,232.93 | Facility | None | $107.15 | $181.97 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $645.65 | Professional | None | $128.82 | $158.49 | $645.65 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
United Setting Professional Modifier None Typical Low $60.26 Median $85.11 Typical High $218.78 | Professional | None | $60.26 | $85.11 | $218.78 |
3 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 $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Sentara Setting Professional Modifier QW · Waived lab test Typical Low $74.13 Median $141.25 Typical High $338.84 | Professional | QW · Waived lab test | $74.13 | $141.25 | $338.84 |
Where Virginia sits
The same service costs 4.3 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· 20th of 51
$141
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.