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 $48.98 Median $57.54 Typical High $83.18 | Facility | None | $48.98 | $57.54 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $66.07 | Professional | None | $48.98 | $57.54 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $69.18 | Professional | None | $47.86 | $56.23 | $69.18 |
CareFirst Setting Professional Modifier None Typical Low $53.70 Median $60.26 Typical High $64.57 | Professional | None | $53.70 | $60.26 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $58.88 Typical High $95.50 | Professional | None | $44.67 | $58.88 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $56.23 Typical High $69.18 | Professional | None | $41.69 | $56.23 | $69.18 |
Medcost Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Medcost Setting Facility Modifier None Typical Low $72.44 Median $74.13 Typical High $97.72 | Facility | None | $72.44 | $74.13 | $97.72 |
Medcost Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $64.57 | Professional | None | $40.74 | $40.74 | $64.57 |
Sentara Setting Facility Modifier None Typical Low $38.90 Median $69.18 Typical High $10,232.93 | Facility | None | $38.90 | $69.18 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $53.70 Median $69.18 Typical High $123.03 | Professional | None | $53.70 | $69.18 | $123.03 |
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 $43.65 Median $64.57 Typical High $107.15 | Professional | None | $43.65 | $64.57 | $107.15 |
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 $24.55 Median $28.18 Typical High $28.84 | Professional | 52 · Reduced service | $24.55 | $28.18 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $9.77 | $11.48 | $11.48 |
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· 36th of 51
$57.54
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.