How much rates vary
Facilitymedian $65 · 10th to 90th $45 to $155Professionalmedian $56 · 10th to 90th $47 to $68
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 $41.69 Median $52.48 Typical High $61.66 | Facility | None | $41.69 | $52.48 | $61.66 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $26.30 Median $30.90 Typical High $32.36 | Facility | 52 · Reduced service | $26.30 | $30.90 | $32.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.47 Median $12.30 Typical High $12.88 | Facility | 53 · Discontinued | $10.47 | $12.30 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $64.57 | Professional | None | $44.67 | $52.48 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $30.90 Typical High $32.36 | Professional | 52 · Reduced service | $26.30 | $30.90 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $12.30 Typical High $12.88 | Professional | 53 · Discontinued | $10.47 | $12.30 | $12.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $53.70 Median $60.26 Typical High $70.79 | Professional | None | $53.70 | $60.26 | $70.79 |
CareFirst Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $52.48 | Professional | None | $46.77 | $52.48 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $93.33 | Professional | None | $47.86 | $56.23 | $93.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $72.44 | Professional | None | $39.81 | $50.12 | $72.44 |
Medcost Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Medcost Setting Facility Modifier None Typical Low $56.23 Median $64.57 Typical High $107.15 | Facility | None | $56.23 | $64.57 | $107.15 |
Medcost Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $70.79 | Professional | None | $50.12 | $50.12 | $70.79 |
Sentara Setting Facility Modifier None Typical Low $53.70 Median $74.13 Typical High $7,413.10 | Facility | None | $53.70 | $74.13 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $74.13 | Professional | None | $50.12 | $50.12 | $74.13 |
United Setting Professional Modifier None Typical Low $45.71 Median $61.66 Typical High $120.23 | Professional | None | $45.71 | $61.66 | $120.23 |
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 $52.48 Median $61.66 Typical High $64.57 | Facility | AF · Specialist physician | $52.48 | $61.66 | $64.57 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $38.90 Median $46.77 Typical High $47.86 | Facility | HO · Master's level | $38.90 | $46.77 | $47.86 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $44.67 Median $52.48 Typical High $54.95 | Facility | TD · Registered nurse | $44.67 | $52.48 | $54.95 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $52.48 Median $61.66 Typical High $64.57 | Professional | AF · Specialist physician | $52.48 | $61.66 | $64.57 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $38.90 Median $46.77 Typical High $47.86 | Professional | HO · Master's level | $38.90 | $46.77 | $47.86 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $44.67 Median $52.48 Typical High $54.95 | Professional | TD · Registered nurse | $44.67 | $52.48 | $54.95 |
Where Virginia sits
The same service costs 2.6 times more in Alaska than in Arizona. 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· 32nd of 51
$56.23
AK $110AZ $42.66
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.