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 $72.44 Median $72.44 Typical High $97.72 | Facility | None | $72.44 | $72.44 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $97.72 Typical High $125.89 | Professional | None | $72.44 | $97.72 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $67.61 Median $81.28 Typical High $102.33 | Professional | None | $67.61 | $81.28 | $102.33 |
CareFirst Setting Professional Modifier None Typical Low $72.44 Median $79.43 Typical High $100.00 | Professional | None | $72.44 | $79.43 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $85.11 Typical High $177.83 | Professional | None | $69.18 | $85.11 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $141.25 | Professional | None | $69.18 | $81.28 | $141.25 |
Medcost Setting Professional Modifier None Typical Low $177.83 Median $218.78 Typical High $229.09 | Professional | None | $177.83 | $218.78 | $229.09 |
Medcost Setting Facility Modifier None Typical Low $162.18 Median $165.96 Typical High $165.96 | Facility | None | $162.18 | $165.96 | $165.96 |
Medcost Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $223.87 | Professional | None | $112.20 | $112.20 | $223.87 |
Sentara Setting Facility Modifier None Typical Low $83.18 Median $154.88 Typical High $10,232.93 | Facility | None | $83.18 | $154.88 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $63.10 Median $107.15 Typical High $190.55 | Professional | None | $63.10 | $107.15 | $190.55 |
United Setting Professional Modifier None Typical Low $70.79 Median $104.71 Typical High $208.93 | Professional | None | $70.79 | $104.71 | $208.93 |
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 $36.31 Median $46.77 Typical High $48.98 | Professional | 52 · Reduced service | $36.31 | $46.77 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $18.62 Typical High $19.50 | Professional | 53 · Discontinued | $14.79 | $18.62 | $19.50 |
Where Virginia sits
The same service costs 2.8 times more in Minnesota 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· 44th of 51
$85.11
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.