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 $87.10 Median $128.82 Typical High $302.00 | Facility | None | $87.10 | $128.82 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $138.04 | Professional | None | $87.10 | $87.10 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $575.44 | Facility | None | $117.49 | $117.49 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $104.71 | Professional | None | $66.07 | $66.07 | $104.71 |
CareFirst Setting Professional Modifier None Typical Low $83.18 Median $93.33 Typical High $109.65 | Professional | None | $83.18 | $93.33 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $281.84 Typical High $457.09 | Facility | None | $117.49 | $281.84 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $100.00 Typical High $229.09 | Professional | None | $64.57 | $100.00 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $162.18 | Professional | None | $109.65 | $128.82 | $162.18 |
Medcost Setting Facility Modifier None Typical Low $234.42 Median $239.88 Typical High $239.88 | Facility | None | $234.42 | $239.88 | $239.88 |
Medcost Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $213.80 | Professional | None | $33.88 | $33.88 | $213.80 |
Sentara Setting Facility Modifier None Typical Low $75.86 Median $165.96 Typical High $10,232.93 | Facility | None | $75.86 | $165.96 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $77.62 Median $117.49 Typical High $218.78 | Professional | None | $77.62 | $117.49 | $218.78 |
United Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
United Setting Professional Modifier None Typical Low $69.18 Median $117.49 Typical High $245.47 | Professional | None | $69.18 | $117.49 | $245.47 |
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 $43.65 Median $43.65 Typical High $54.95 | Professional | 52 · Reduced service | $43.65 | $43.65 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $21.88 | Professional | 53 · Discontinued | $17.38 | $17.38 | $21.88 |
Where Virginia sits
The same service costs 6.3 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· 39th of 51
$117
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.