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 $123.03 Median $125.89 Typical High $144.54 | Facility | None | $123.03 | $125.89 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $165.96 | Professional | None | $123.03 | $144.54 | $165.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $177.83 | Professional | None | $123.03 | $144.54 | $177.83 |
CareFirst Setting Professional Modifier None Typical Low $128.82 Median $141.25 Typical High $162.18 | Professional | None | $128.82 | $141.25 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $147.91 Typical High $245.47 | Professional | None | $120.23 | $147.91 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $190.55 | Professional | None | $109.65 | $151.36 | $190.55 |
Medcost Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Medcost Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $223.87 | Facility | None | $218.78 | $218.78 | $223.87 |
Medcost Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $162.18 | Professional | None | $104.71 | $104.71 | $162.18 |
Sentara Setting Facility Modifier None Typical Low $97.72 Median $173.78 Typical High $10,232.93 | Facility | None | $97.72 | $173.78 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $134.90 Median $177.83 Typical High $316.23 | Professional | None | $134.90 | $177.83 | $316.23 |
United Setting Professional Modifier None Typical Low $109.65 Median $162.18 Typical High $269.15 | Professional | None | $109.65 | $162.18 | $269.15 |
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 $61.66 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $61.66 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $24.55 | $28.84 | $28.84 |
Where Virginia sits
The same service costs 2.8 times more in Alaska than in Florida. 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· 35th of 51
$145
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.