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 $21.38 Median $24.55 Typical High $72.44 | Facility | None | $21.38 | $24.55 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $50.12 Typical High $72.44 | Professional | None | $21.38 | $50.12 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $57.54 Typical High $87.10 | Professional | None | $21.38 | $57.54 | $87.10 |
CareFirst Setting Professional Modifier None Typical Low $18.62 Median $20.89 Typical High $23.44 | Professional | None | $18.62 | $20.89 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $67.61 Typical High $371.54 | Facility | None | $58.88 | $67.61 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $60.26 Typical High $107.15 | Professional | None | $21.38 | $60.26 | $107.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.20 Median $87.10 Typical High $109.65 | Professional | None | $18.20 | $87.10 | $109.65 |
Medcost Setting Professional Modifier None Typical Low $64.57 Median $81.28 Typical High $81.28 | Professional | None | $64.57 | $81.28 | $81.28 |
Medcost Setting Facility Modifier None Typical Low $32.36 Median $41.69 Typical High $123.03 | Facility | None | $32.36 | $41.69 | $123.03 |
Medcost Setting Professional Modifier None Typical Low $50.12 Median $53.70 Typical High $63.10 | Professional | None | $50.12 | $53.70 | $63.10 |
Sentara Setting Facility Modifier None Typical Low $16.60 Median $30.90 Typical High $10,232.93 | Facility | None | $16.60 | $30.90 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $48.98 Median $85.11 Typical High $158.49 | Professional | None | $48.98 | $85.11 | $158.49 |
United Setting Facility Modifier None Typical Low $407.38 Median $446.68 Typical High $1,000.00 | Facility | None | $407.38 | $446.68 | $1,000.00 |
United Setting Professional Modifier None Typical Low $19.50 Median $47.86 Typical High $109.65 | Professional | None | $19.50 | $47.86 | $109.65 |
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 $10.72 Median $14.45 Typical High $36.31 | Professional | 52 · Reduced service | $10.72 | $14.45 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $5.89 Typical High $14.45 | Professional | 53 · Discontinued | $4.37 | $5.89 | $14.45 |
Where Virginia sits
The same service costs 3.9 times more in Hawaii than in Washington, DC. 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· 46th of 51
$48.98
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.