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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $112.20 | Professional | None (both parts) | $102.33 | $102.33 | $112.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $117.49 Typical High $144.54 | Professional | None (both parts) | $100.00 | $117.49 | $144.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $91.20 Median $102.33 Typical High $109.65 | Professional | None (both parts) | $91.20 | $102.33 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $295.12 Typical High $1,230.27 | Facility | None | $251.19 | $295.12 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $107.15 Typical High $204.17 | Professional | None (both parts) | $104.71 | $107.15 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $93.33 Typical High $117.49 | Professional | None | $79.43 | $93.33 | $117.49 |
Medcost Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $162.18 | Professional | None | $128.82 | $162.18 | $162.18 |
Medcost Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $234.42 | Facility | None | $147.91 | $147.91 | $234.42 |
Medcost Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $109.65 | Professional | None (both parts) | $85.11 | $85.11 | $109.65 |
Sentara Setting Facility Modifier None Typical Low $85.11 Median $154.88 Typical High $10,232.93 | Facility | None | $85.11 | $154.88 | $10,232.93 |
Sentara Setting Professional Modifier None (both parts) Typical Low $100.00 Median $138.04 Typical High $257.04 | Professional | None (both parts) | $100.00 | $138.04 | $257.04 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,778.28 Typical High $3,981.07 | Facility | None | $1,621.81 | $1,778.28 | $3,981.07 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $125.89 Typical High $213.80 | Professional | None (both parts) | $87.10 | $125.89 | $213.80 |
5 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 $51.29 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $51.29 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $20.42 | $26.92 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $134.90 | $134.90 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $134.90 Typical High $177.83 | Professional | TC · Technical part | $102.33 | $134.90 | $177.83 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $131.83 Typical High $169.82 | Professional | TC · Technical part | $97.72 | $131.83 | $169.82 |
Where Virginia sits
The same service costs 3.2 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· 31st of 51
$117
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.