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 $36.31 Median $45.71 Typical High $85.11 | Facility | None | $36.31 | $45.71 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $45.71 Typical High $61.66 | Professional | None | $36.31 | $45.71 | $61.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $36.31 Median $46.77 Typical High $58.88 | Professional | None | $36.31 | $46.77 | $58.88 |
CareFirst Setting Professional Modifier None Typical Low $32.36 Median $36.31 Typical High $41.69 | Professional | None | $32.36 | $36.31 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $107.15 Typical High $117.49 | Facility | None | $100.00 | $107.15 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $47.86 Typical High $85.11 | Professional | None | $37.15 | $47.86 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $56.23 Typical High $70.79 | Professional | None | $33.88 | $56.23 | $70.79 |
Medcost Setting Professional Modifier None Typical Low $63.10 Median $83.18 Typical High $83.18 | Professional | None | $63.10 | $83.18 | $83.18 |
Medcost Setting Facility Modifier None Typical Low $57.54 Median $75.86 Typical High $93.33 | Facility | None | $57.54 | $75.86 | $93.33 |
Medcost Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $144.54 | Professional | None | $37.15 | $37.15 | $144.54 |
Sentara Setting Facility Modifier None Typical Low $30.20 Median $52.48 Typical High $10,232.93 | Facility | None | $30.20 | $52.48 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $46.77 Median $66.07 Typical High $114.82 | Professional | None | $46.77 | $66.07 | $114.82 |
United Setting Facility Modifier None Typical Low $177.83 Median $199.53 Typical High $436.52 | Facility | None | $177.83 | $199.53 | $436.52 |
United Setting Professional Modifier None Typical Low $33.88 Median $54.95 Typical High $91.20 | Professional | None | $33.88 | $54.95 | $91.20 |
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 $18.20 Median $21.88 Typical High $26.92 | Professional | 52 · Reduced service | $18.20 | $21.88 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $8.91 Typical High $10.72 | Professional | 53 · Discontinued | $7.24 | $8.91 | $10.72 |
Where Virginia sits
The same service costs 2.8 times more in Alaska than in Maryland. 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· 46th of 51
$46.77
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.