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 $144.54 Median $147.91 Typical High $169.82 | Facility | None | $144.54 | $147.91 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $169.82 Typical High $190.55 | Professional | None | $144.54 | $169.82 | $190.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $144.54 Median $173.78 Typical High $213.80 | Professional | None | $144.54 | $173.78 | $213.80 |
CareFirst Setting Professional Modifier None Typical Low $151.36 Median $169.82 Typical High $194.98 | Professional | None | $151.36 | $169.82 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $173.78 Typical High $288.40 | Professional | None | $141.25 | $173.78 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $181.97 Typical High $229.09 | Professional | None | $131.83 | $181.97 | $229.09 |
Medcost Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Medcost Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $263.03 | Facility | None | $257.04 | $257.04 | $263.03 |
Medcost Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $190.55 | Professional | None | $123.03 | $123.03 | $190.55 |
Sentara Setting Facility Modifier None Typical Low $117.49 Median $204.17 Typical High $10,232.93 | Facility | None | $117.49 | $204.17 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $158.49 Median $208.93 Typical High $363.08 | Professional | None | $158.49 | $208.93 | $363.08 |
United Setting Professional Modifier None Typical Low $128.82 Median $190.55 Typical High $316.23 | Professional | None | $128.82 | $190.55 | $316.23 |
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 $72.44 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $72.44 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $28.84 | $33.88 | $33.88 |
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· 36th of 51
$170
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.