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 $43.65 Median $74.13 Typical High $120.23 | Facility | None | $43.65 | $74.13 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $39.81 Typical High $45.71 | Professional | None | $38.02 | $39.81 | $45.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $251.19 | Facility | None | $51.29 | $51.29 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $35.48 | Professional | None | $22.91 | $22.91 | $35.48 |
CareFirst Setting Professional Modifier None Typical Low $37.15 Median $40.74 Typical High $56.23 | Professional | None | $37.15 | $40.74 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $117.49 Typical High $165.96 | Facility | None | $52.48 | $117.49 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $35.48 Typical High $87.10 | Professional | None | $26.30 | $35.48 | $87.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $48.98 Median $56.23 Typical High $75.86 | Professional | None | $48.98 | $56.23 | $75.86 |
Medcost Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Medcost Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $91.20 | Facility | None | $83.18 | $83.18 | $91.20 |
Medcost Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $72.44 | Professional | None | $33.11 | $33.11 | $72.44 |
Sentara Setting Facility Modifier None Typical Low $41.69 Median $70.79 Typical High $10,232.93 | Facility | None | $41.69 | $70.79 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $45.71 Median $67.61 Typical High $234.42 | Professional | None | $45.71 | $67.61 | $234.42 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
United Setting Professional Modifier None Typical Low $30.90 Median $51.29 Typical High $97.72 | Professional | None | $30.90 | $51.29 | $97.72 |
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 $19.05 Median $19.05 Typical High $21.88 | Professional | 52 · Reduced service | $19.05 | $19.05 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $8.71 | Professional | 53 · Discontinued | $7.76 | $7.76 | $8.71 |
Where Virginia sits
The same service costs 4.6 times more in South Carolina than in Connecticut. 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· 42nd of 51
$44.67
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.