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 $93.33 Median $93.33 Typical High $112.20 | Facility | None | $93.33 | $93.33 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $112.20 Typical High $112.20 | Professional | None | $93.33 | $112.20 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $104.71 Typical High $125.89 | Professional | None | $87.10 | $104.71 | $125.89 |
CareFirst Setting Professional Modifier None Typical Low $93.33 Median $104.71 Typical High $104.71 | Professional | None | $93.33 | $104.71 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $302.00 Typical High $338.84 | Facility | None | $257.04 | $302.00 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $97.72 Typical High $151.36 | Professional | None | $81.28 | $97.72 | $151.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $107.15 Typical High $125.89 | Professional | None | $85.11 | $107.15 | $125.89 |
Medcost Setting Professional Modifier None Typical Low $67.61 Median $102.33 Typical High $117.49 | Professional | None | $67.61 | $102.33 | $117.49 |
Medcost Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $190.55 | Facility | None | $100.00 | $100.00 | $190.55 |
Sentara Setting Facility Modifier None Typical Low $63.10 Median $138.04 Typical High $10,232.93 | Facility | None | $63.10 | $138.04 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $177.83 | Professional | None | $67.61 | $83.18 | $177.83 |
United Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
United Setting Professional Modifier None Typical Low $64.57 Median $95.50 Typical High $158.49 | Professional | None | $64.57 | $95.50 | $158.49 |
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 $45.71 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $45.71 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $18.62 | $22.39 | $22.39 |
Where Virginia sits
The same service costs 3.0 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· 29th of 51
$102
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.