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 $79.43 Typical High $104.71 | Facility | None | $64.57 | $79.43 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $79.43 Typical High $104.71 | Professional | None | $64.57 | $79.43 | $104.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $100.00 Typical High $125.89 | Professional | None | $79.43 | $100.00 | $125.89 |
CareFirst Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $75.86 Typical High $120.23 | Professional | None | $54.95 | $75.86 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $89.13 Typical High $134.90 | Professional | None | $74.13 | $89.13 | $134.90 |
Medcost Setting Professional Modifier None Typical Low $100.00 Median $173.78 Typical High $186.21 | Professional | None | $100.00 | $173.78 | $186.21 |
Medcost Setting Facility Modifier None Typical Low $87.10 Median $104.71 Typical High $165.96 | Facility | None | $87.10 | $104.71 | $165.96 |
Medcost Setting Professional Modifier None Typical Low $45.71 Median $83.18 Typical High $109.65 | Professional | None | $45.71 | $83.18 | $109.65 |
Sentara Setting Facility Modifier None Typical Low $70.79 Median $134.90 Typical High $10,232.93 | Facility | None | $70.79 | $134.90 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $104.71 Median $134.90 Typical High $199.53 | Professional | None | $104.71 | $134.90 | $199.53 |
United Setting Facility Modifier None Typical Low $190.55 Median $213.80 Typical High $467.74 | Facility | None | $190.55 | $213.80 | $467.74 |
United Setting Professional Modifier None Typical Low $60.26 Median $95.50 Typical High $186.21 | Professional | None | $60.26 | $95.50 | $186.21 |
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 $79.43 Median $97.72 Typical High $104.71 | Facility | AF · Specialist physician | $79.43 | $97.72 | $104.71 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $58.88 Median $72.44 Typical High $77.62 | Facility | HO · Master's level | $58.88 | $72.44 | $77.62 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $67.61 Median $81.28 Typical High $89.13 | Facility | TD · Registered nurse | $67.61 | $81.28 | $89.13 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $79.43 Median $97.72 Typical High $104.71 | Professional | AF · Specialist physician | $79.43 | $97.72 | $104.71 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $58.88 Median $72.44 Typical High $77.62 | Professional | HO · Master's level | $58.88 | $72.44 | $77.62 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $67.61 Median $81.28 Typical High $89.13 | Professional | TD · Registered nurse | $67.61 | $81.28 | $89.13 |
Where Virginia sits
The same service costs 2.3 times more in Hawaii than in Arizona. 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· 33rd of 51
$87.10
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.