How much rates vary
Facilitymedian $145 · 10th to 90th $100 to $347Professionalmedian $123 · 10th to 90th $100 to $145
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 $89.13 Median $114.82 Typical High $134.90 | Facility | None | $89.13 | $114.82 | $134.90 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $57.54 Median $67.61 Typical High $72.44 | Facility | 52 · Reduced service | $57.54 | $67.61 | $72.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.44 Median $26.92 Typical High $28.84 | Facility | 53 · Discontinued | $23.44 | $26.92 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $114.82 Typical High $144.54 | Professional | None | $100.00 | $114.82 | $144.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $67.61 Typical High $72.44 | Professional | 52 · Reduced service | $57.54 | $67.61 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $26.92 Typical High $28.84 | Professional | 53 · Discontinued | $23.44 | $26.92 | $28.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $123.03 Typical High $147.91 | Professional | None | $114.82 | $123.03 | $147.91 |
CareFirst Setting Professional Modifier None Typical Low $114.82 Median $128.82 Typical High $128.82 | Professional | None | $114.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $208.93 | Professional | None | $109.65 | $128.82 | $208.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $114.82 Typical High $162.18 | Professional | None | $89.13 | $114.82 | $162.18 |
Medcost Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
Medcost Setting Facility Modifier None Typical Low $120.23 Median $144.54 Typical High $234.42 | Facility | None | $120.23 | $144.54 | $234.42 |
Medcost Setting Professional Modifier None Typical Low $107.15 Median $112.20 Typical High $162.18 | Professional | None | $107.15 | $112.20 | $162.18 |
Sentara Setting Facility Modifier None Typical Low $117.49 Median $165.96 Typical High $7,413.10 | Facility | None | $117.49 | $165.96 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $165.96 | Professional | None | $112.20 | $112.20 | $165.96 |
United Setting Facility Modifier None Typical Low $245.47 Median $269.15 Typical High $602.56 | Facility | None | $245.47 | $269.15 | $602.56 |
United Setting Professional Modifier None Typical Low $100.00 Median $109.65 Typical High $218.78 | Professional | None | $100.00 | $109.65 | $218.78 |
6 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 Facility Modifier AF · Specialist physician Typical Low $117.49 Median $134.90 Typical High $144.54 | Facility | AF · Specialist physician | $117.49 | $134.90 | $144.54 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $87.10 Median $102.33 Typical High $107.15 | Facility | HO · Master's level | $87.10 | $102.33 | $107.15 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $100.00 Median $114.82 Typical High $123.03 | Facility | TD · Registered nurse | $100.00 | $114.82 | $123.03 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $117.49 Median $134.90 Typical High $144.54 | Professional | AF · Specialist physician | $117.49 | $134.90 | $144.54 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $87.10 Median $102.33 Typical High $107.15 | Professional | HO · Master's level | $87.10 | $102.33 | $107.15 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $100.00 Median $114.82 Typical High $123.03 | Professional | TD · Registered nurse | $100.00 | $114.82 | $123.03 |
Where Virginia sits
The same service costs 2.4 times more in Alaska than in Ohio. 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
$123
AK $245OH $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.