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 $104.71 Median $141.25 Typical High $363.08 | Facility | None | $104.71 | $141.25 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $131.83 | Professional | None | $104.71 | $104.71 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $691.83 | Facility | None | $141.25 | $141.25 | $691.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $125.89 | Professional | None | $79.43 | $79.43 | $125.89 |
CareFirst Setting Professional Modifier None Typical Low $102.33 Median $112.20 Typical High $131.83 | Professional | None | $102.33 | $112.20 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $338.84 Typical High $549.54 | Facility | None | $144.54 | $338.84 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $120.23 Typical High $346.74 | Professional | None | $77.62 | $120.23 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $154.88 Typical High $194.98 | Professional | None | $134.90 | $154.88 | $194.98 |
Medcost Setting Facility Modifier None Typical Low $281.84 Median $288.40 Typical High $288.40 | Facility | None | $281.84 | $288.40 | $288.40 |
Medcost Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $257.04 | Professional | None | $42.66 | $42.66 | $257.04 |
Sentara Setting Facility Modifier None Typical Low $89.13 Median $218.78 Typical High $10,232.93 | Facility | None | $89.13 | $218.78 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $77.62 Median $141.25 Typical High $263.03 | Professional | None | $77.62 | $141.25 | $263.03 |
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 $85.11 Median $141.25 Typical High $295.12 | Professional | None | $85.11 | $141.25 | $295.12 |
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 $52.48 Median $52.48 Typical High $66.07 | Professional | 52 · Reduced service | $52.48 | $52.48 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $26.30 | Professional | 53 · Discontinued | $20.89 | $20.89 | $26.30 |
Where Virginia sits
The same service costs 6.0 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· 40th 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.