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 $134.90 Median $169.82 Typical High $288.40 | Facility | None | $134.90 | $169.82 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $154.88 Typical High $194.98 | Professional | None | $128.82 | $154.88 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $199.53 Median $223.87 Typical High $257.04 | Professional | None | $199.53 | $223.87 | $257.04 |
CareFirst Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $61.66 Typical High $190.55 | Professional | None | $60.26 | $61.66 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $177.83 Typical High $263.03 | Professional | None | $144.54 | $177.83 | $263.03 |
Medcost Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Medcost Setting Facility Modifier None Typical Low $165.96 Median $169.82 Typical High $263.03 | Facility | None | $165.96 | $169.82 | $263.03 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $144.54 Typical High $158.49 | Professional | None | $109.65 | $144.54 | $158.49 |
Sentara Setting Facility Modifier None Typical Low $120.23 Median $181.97 Typical High $7,413.10 | Facility | None | $120.23 | $181.97 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $141.25 Median $269.15 Typical High $331.13 | Professional | None | $141.25 | $269.15 | $331.13 |
United Setting Facility Modifier None Typical Low $338.84 Median $371.54 Typical High $831.76 | Facility | None | $338.84 | $371.54 | $831.76 |
United Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $194.98 | Professional | None | $147.91 | $147.91 | $194.98 |
6 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 Facility Modifier AF · Specialist physician Typical Low $158.49 Median $169.82 Typical High $194.98 | Facility | AF · Specialist physician | $158.49 | $169.82 | $194.98 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $117.49 Median $128.82 Typical High $147.91 | Facility | HO · Master's level | $117.49 | $128.82 | $147.91 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $134.90 Median $144.54 Typical High $165.96 | Facility | TD · Registered nurse | $134.90 | $144.54 | $165.96 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $104.71 Median $141.25 Typical High $194.98 | Professional | AF · Specialist physician | $104.71 | $141.25 | $194.98 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $117.49 Median $134.90 Typical High $147.91 | Professional | HO · Master's level | $117.49 | $134.90 | $147.91 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $64.57 Median $83.18 Typical High $165.96 | Professional | TD · Registered nurse | $64.57 | $83.18 | $165.96 |
Where Virginia sits
The same service costs 2.2 times more in North Dakota than in Kentucky. 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· 31st of 51
$155
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.