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 $89.13 Median $125.89 Typical High $213.80 | Facility | None | $89.13 | $125.89 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $95.50 Typical High $117.49 | Professional | None | $89.13 | $95.50 | $117.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $85.11 Median $102.33 Typical High $128.82 | Professional | None | $85.11 | $102.33 | $128.82 |
CareFirst Setting Professional Modifier None Typical Low $89.13 Median $100.00 Typical High $125.89 | Professional | None | $89.13 | $100.00 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $281.84 Typical High $316.23 | Facility | None | $245.47 | $281.84 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $107.15 Typical High $173.78 | Professional | None | $85.11 | $107.15 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $91.20 Median $102.33 Typical High $131.83 | Professional | None | $91.20 | $102.33 | $131.83 |
Medcost Setting Professional Modifier None Typical Low $134.90 Median $165.96 Typical High $181.97 | Professional | None | $134.90 | $165.96 | $181.97 |
Medcost Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $162.18 | Facility | None | $117.49 | $117.49 | $162.18 |
Medcost Setting Professional Modifier None Typical Low $54.95 Median $70.79 Typical High $125.89 | Professional | None | $54.95 | $70.79 | $125.89 |
Sentara Setting Facility Modifier None Typical Low $77.62 Median $151.36 Typical High $10,232.93 | Facility | None | $77.62 | $151.36 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $41.69 Median $120.23 Typical High $257.04 | Professional | None | $41.69 | $120.23 | $257.04 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None Typical Low $72.44 Median $123.03 Typical High $199.53 | Professional | None | $72.44 | $123.03 | $199.53 |
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 $43.65 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $43.65 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $17.38 | $19.05 | $19.05 |
Where Virginia sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 39th of 51
$102
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.