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 $45.71 Median $45.71 Typical High $56.23 | Facility | None | $45.71 | $45.71 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $69.18 | Professional | None | $45.71 | $56.23 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $51.29 Typical High $66.07 | Professional | None | $42.66 | $51.29 | $66.07 |
CareFirst Setting Professional Modifier None Typical Low $48.98 Median $53.70 Typical High $63.10 | Professional | None | $48.98 | $53.70 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $53.70 Typical High $100.00 | Professional | None | $44.67 | $53.70 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $54.95 Typical High $83.18 | Professional | None | $46.77 | $54.95 | $83.18 |
Medcost Setting Professional Modifier None Typical Low $77.62 Median $97.72 Typical High $102.33 | Professional | None | $77.62 | $97.72 | $102.33 |
Medcost Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $97.72 | Facility | None | $91.20 | $91.20 | $97.72 |
Medcost Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $208.93 | Professional | None | $50.12 | $50.12 | $208.93 |
Sentara Setting Facility Modifier None Typical Low $46.77 Median $70.79 Typical High $10,232.93 | Facility | None | $46.77 | $70.79 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $38.02 Median $58.88 Typical High $95.50 | Professional | None | $38.02 | $58.88 | $95.50 |
United Setting Professional Modifier None Typical Low $37.15 Median $58.88 Typical High $102.33 | Professional | None | $37.15 | $58.88 | $102.33 |
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 $22.91 Median $27.54 Typical High $28.18 | Professional | 52 · Reduced service | $22.91 | $27.54 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $10.96 Typical High $11.22 | Professional | 53 · Discontinued | $9.12 | $10.96 | $11.22 |
Where Virginia sits
The same service costs 3.5 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· 39th of 51
$53.70
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.