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 $28.84 Median $42.66 Typical High $147.91 | Facility | None | $28.84 | $42.66 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $54.95 Typical High $147.91 | Professional | None | $28.84 | $54.95 | $147.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $70.79 Typical High $177.83 | Professional | None | $33.11 | $70.79 | $177.83 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $48.98 Median $102.33 Typical High $263.03 | Professional | 50 · Both sides | $48.98 | $102.33 | $263.03 |
CareFirst Setting Professional Modifier None Typical Low $26.92 Median $30.20 Typical High $39.81 | Professional | None | $26.92 | $30.20 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $64.57 Typical High $141.25 | Professional | None | $28.84 | $64.57 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $154.88 Typical High $190.55 | Professional | None | $131.83 | $154.88 | $190.55 |
Medcost Setting Professional Modifier None Typical Low $85.11 Median $107.15 Typical High $120.23 | Professional | None | $85.11 | $107.15 | $120.23 |
Medcost Setting Facility Modifier None Typical Low $43.65 Median $61.66 Typical High $117.49 | Facility | None | $43.65 | $61.66 | $117.49 |
Medcost Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $85.11 | Professional | None | $57.54 | $57.54 | $85.11 |
Sentara Setting Facility Modifier None Typical Low $23.44 Median $43.65 Typical High $10,232.93 | Facility | None | $23.44 | $43.65 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $66.07 Median $91.20 Typical High $213.80 | Professional | None | $66.07 | $91.20 | $213.80 |
United Setting Facility Modifier None Typical Low $707.95 Median $776.25 Typical High $1,737.80 | Facility | None | $707.95 | $776.25 | $1,737.80 |
United Setting Professional Modifier None Typical Low $27.54 Median $57.54 Typical High $117.49 | Professional | None | $27.54 | $57.54 | $117.49 |
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 $14.45 Median $21.38 Typical High $74.13 | Professional | 52 · Reduced service | $14.45 | $21.38 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $8.71 Typical High $29.51 | Professional | 53 · Discontinued | $5.75 | $8.71 | $29.51 |
Where Virginia sits
The same service costs 4.2 times more in Washington than in Maryland. 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· 36th of 51
$61.66
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.