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 $251.19 Median $251.19 Typical High $316.23 | Facility | None | $251.19 | $251.19 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $316.23 Typical High $346.74 | Professional | None | $251.19 | $316.23 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $245.47 Typical High $309.03 | Facility | None | $190.55 | $245.47 | $309.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $42.66 Typical High $81.28 | Professional | None | $25.12 | $42.66 | $81.28 |
CareFirst Setting Professional Modifier None Typical Low $20.42 Median $22.39 Typical High $22.39 | Professional | None | $20.42 | $22.39 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $81.28 Typical High $109.65 | Facility | None | $52.48 | $81.28 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $3.09 Typical High $31.62 | Professional | None | $2.45 | $3.09 | $31.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Medcost Setting Facility Modifier None Typical Low $251.19 Median $316.23 Typical High $416.87 | Facility | None | $251.19 | $316.23 | $416.87 |
Sentara Setting Facility Modifier None Typical Low $7,413.10 Median $10,232.93 Typical High $11,481.54 | Facility | None | $7,413.10 | $10,232.93 | $11,481.54 |
Sentara Setting Professional Modifier None Typical Low $7,413.10 Median $10,232.93 Typical High $11,481.54 | Professional | None | $7,413.10 | $10,232.93 | $11,481.54 |
United Setting Facility Modifier None Typical Low $97.72 Median $109.65 Typical High $239.88 | Facility | None | $97.72 | $109.65 | $239.88 |
United Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
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 $125.89 Median $158.49 Typical High $173.78 | Professional | 52 · Reduced service | $125.89 | $158.49 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $63.10 Typical High $70.79 | Professional | 53 · Discontinued | $50.12 | $63.10 | $70.79 |
Where Virginia sits
The same service costs 93.3 times more in Hawaii than in South Dakota. 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· 41st of 51
$64.57
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.