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 $74.13 Median $97.72 Typical High $190.55 | Facility | None | $74.13 | $97.72 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $83.18 Typical High $100.00 | Professional | None | $74.13 | $83.18 | $100.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $125.89 | Professional | None | $102.33 | $102.33 | $125.89 |
CareFirst Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $75.86 Typical High $117.49 | Professional | None | $54.95 | $75.86 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $75.86 Median $100.00 Typical High $147.91 | Professional | None | $75.86 | $100.00 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $97.72 Median $162.18 Typical High $173.78 | Professional | None | $97.72 | $162.18 | $173.78 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $100.00 Typical High $190.55 | Facility | None | $97.72 | $100.00 | $190.55 |
Medcost Setting Professional Modifier None Typical Low $60.26 Median $77.62 Typical High $112.20 | Professional | None | $60.26 | $77.62 | $112.20 |
Sentara Setting Facility Modifier None Typical Low $95.50 Median $144.54 Typical High $7,413.10 | Facility | None | $95.50 | $144.54 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $144.54 | Professional | None | $97.72 | $97.72 | $144.54 |
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 $91.20 Median $91.20 Typical High $123.03 | Professional | None | $91.20 | $91.20 | $123.03 |
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 $89.13 Median $97.72 Typical High $112.20 | Facility | AF · Specialist physician | $89.13 | $97.72 | $112.20 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $67.61 Median $74.13 Typical High $83.18 | Facility | HO · Master's level | $67.61 | $74.13 | $83.18 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $75.86 Median $83.18 Typical High $95.50 | Facility | TD · Registered nurse | $75.86 | $83.18 | $95.50 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $70.79 Median $89.13 Typical High $100.00 | Professional | AF · Specialist physician | $70.79 | $89.13 | $100.00 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $67.61 Median $74.13 Typical High $74.13 | Professional | HO · Master's level | $67.61 | $74.13 | $74.13 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $75.86 Median $83.18 Typical High $85.11 | Professional | TD · Registered nurse | $75.86 | $83.18 | $85.11 |
Where Virginia sits
The same service costs 1.7 times more in Alaska than in Ohio. 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· 27th of 51
$97.72
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.