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 $107.15 Median $281.84 Typical High $338.84 | Facility | None | $107.15 | $281.84 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $147.91 | Professional | None | $107.15 | $107.15 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $707.95 | Facility | None | $144.54 | $144.54 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $120.23 | Professional | None | $70.79 | $70.79 | $120.23 |
CareFirst Setting Professional Modifier None Typical Low $102.33 Median $114.82 Typical High $134.90 | Professional | None | $102.33 | $114.82 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $346.74 Typical High $501.19 | Facility | None | $147.91 | $346.74 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $104.71 Typical High $269.15 | Professional | None | $70.79 | $104.71 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $158.49 Typical High $199.53 | Professional | None | $138.04 | $158.49 | $199.53 |
Medcost Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Medcost Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $229.09 | Professional | None | $42.66 | $42.66 | $229.09 |
Sentara Setting Facility Modifier None Typical Low $128.82 Median $223.87 Typical High $10,232.93 | Facility | None | $128.82 | $223.87 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $144.54 Median $186.21 Typical High $269.15 | Professional | None | $144.54 | $186.21 | $269.15 |
United Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
United Setting Professional Modifier None Typical Low $87.10 Median $144.54 Typical High $295.12 | Professional | None | $87.10 | $144.54 | $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 $53.70 Median $53.70 Typical High $61.66 | Professional | 52 · Reduced service | $53.70 | $53.70 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $24.55 | Professional | 53 · Discontinued | $21.38 | $21.38 | $24.55 |
Where Virginia sits
The same service costs 5.6 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
$145
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.