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 $100.00 Median $100.00 Typical High $117.49 | Facility | None | $100.00 | $100.00 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $117.49 | Professional | None | $100.00 | $117.49 | $117.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $95.50 Median $112.20 Typical High $138.04 | Professional | None | $95.50 | $112.20 | $138.04 |
CareFirst Setting Professional Modifier None Typical Low $102.33 Median $112.20 Typical High $120.23 | Professional | None | $102.33 | $112.20 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $199.53 | Professional | None | $95.50 | $120.23 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $117.49 Typical High $147.91 | Professional | None | $87.10 | $117.49 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Medcost Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $199.53 | Facility | None | $151.36 | $151.36 | $199.53 |
Medcost Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $128.82 | Professional | None | $81.28 | $81.28 | $128.82 |
Sentara Setting Facility Modifier None Typical Low $79.43 Median $144.54 Typical High $10,232.93 | Facility | None | $79.43 | $144.54 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $107.15 Median $144.54 Typical High $245.47 | Professional | None | $107.15 | $144.54 | $245.47 |
United Setting Facility Modifier None Typical Low $70.79 Median $77.62 Typical High $173.78 | Facility | None | $70.79 | $77.62 | $173.78 |
United Setting Professional Modifier None Typical Low $91.20 Median $131.83 Typical High $218.78 | Professional | None | $91.20 | $131.83 | $218.78 |
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 $48.98 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $48.98 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $19.95 | $23.44 | $23.44 |
Where Virginia sits
The same service costs 2.7 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
$115
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.