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 $64.57 Median $81.28 Typical High $95.50 | Facility | None | $64.57 | $81.28 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $81.28 Typical High $95.50 | Professional | None | $70.79 | $81.28 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $120.23 | Professional | None | $97.72 | $97.72 | $120.23 |
CareFirst Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $72.44 Typical High $107.15 | Professional | None | $54.95 | $72.44 | $107.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $95.50 Typical High $141.25 | Professional | None | $74.13 | $95.50 | $141.25 |
Medcost Setting Professional Modifier None Typical Low $87.10 Median $138.04 Typical High $144.54 | Professional | None | $87.10 | $138.04 | $144.54 |
Medcost Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $181.97 | Facility | None | $95.50 | $95.50 | $181.97 |
Medcost Setting Professional Modifier None Typical Low $60.26 Median $64.57 Typical High $97.72 | Professional | None | $60.26 | $64.57 | $97.72 |
Sentara Setting Facility Modifier None Typical Low $91.20 Median $141.25 Typical High $4,570.88 | Facility | None | $91.20 | $141.25 | $4,570.88 |
Sentara Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $141.25 | Professional | None | $95.50 | $95.50 | $141.25 |
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 $89.13 Median $89.13 Typical High $117.49 | Professional | None | $89.13 | $89.13 | $117.49 |
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 $87.10 Median $95.50 Typical High $107.15 | Facility | AF · Specialist physician | $87.10 | $95.50 | $107.15 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $64.57 Median $70.79 Typical High $79.43 | Facility | HO · Master's level | $64.57 | $70.79 | $79.43 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $74.13 Median $81.28 Typical High $91.20 | Facility | TD · Registered nurse | $74.13 | $81.28 | $91.20 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $70.79 Median $89.13 Typical High $95.50 | Professional | AF · Specialist physician | $70.79 | $89.13 | $95.50 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $64.57 Median $70.79 Typical High $70.79 | Professional | HO · Master's level | $64.57 | $70.79 | $70.79 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $74.13 Median $81.28 Typical High $81.28 | Professional | TD · Registered nurse | $74.13 | $81.28 | $81.28 |
Where Virginia sits
The same service costs 1.8 times more in Alaska than in New Mexico. 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· 22nd of 51
$95.50
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.