How much rates vary
Facilitymedian $126 · 10th to 90th $81 to $479Professionalmedian $117 · 10th to 90th $87 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 $81.28 Median $114.82 Typical High $169.82 | Facility | None | $81.28 | $114.82 | $169.82 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $47.86 Median $60.26 Typical High $69.18 | Facility | 52 · Reduced service | $47.86 | $60.26 | $69.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.50 Median $23.99 Typical High $28.18 | Facility | 53 · Discontinued | $19.50 | $23.99 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $104.71 Typical High $138.04 | Professional | None | $85.11 | $104.71 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $58.88 Typical High $69.18 | Professional | 52 · Reduced service | $47.86 | $58.88 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $23.44 Typical High $28.18 | Professional | 53 · Discontinued | $19.50 | $23.44 | $28.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $144.54 | Professional | None | $104.71 | $123.03 | $144.54 |
CareFirst Setting Professional Modifier None Typical Low $104.71 Median $117.49 Typical High $117.49 | Professional | None | $104.71 | $117.49 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $134.90 Typical High $151.36 | Professional | None | $93.33 | $134.90 | $151.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $107.15 Typical High $158.49 | Professional | None | $87.10 | $107.15 | $158.49 |
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 $104.71 Median $138.04 Typical High $194.98 | Facility | None | $104.71 | $138.04 | $194.98 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $154.88 | Professional | None | $109.65 | $109.65 | $154.88 |
Sentara Setting Facility Modifier None Typical Low $87.10 Median $141.25 Typical High $10,232.93 | Facility | None | $87.10 | $141.25 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $131.83 Median $144.54 Typical High $186.21 | Professional | None | $131.83 | $144.54 | $186.21 |
United Setting Facility Modifier None Typical Low $707.95 Median $776.25 Typical High $1,737.80 | Facility | None | $707.95 | $776.25 | $1,737.80 |
United Setting Professional Modifier None Typical Low $100.00 Median $128.82 Typical High $194.98 | Professional | None | $100.00 | $128.82 | $194.98 |
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 $97.72 Median $120.23 Typical High $138.04 | Facility | AF · Specialist physician | $97.72 | $120.23 | $138.04 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $72.44 Median $91.20 Typical High $104.71 | Facility | HO · Master's level | $72.44 | $91.20 | $104.71 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $81.28 Median $102.33 Typical High $117.49 | Facility | TD · Registered nurse | $81.28 | $102.33 | $117.49 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $97.72 Median $120.23 Typical High $138.04 | Professional | AF · Specialist physician | $97.72 | $120.23 | $138.04 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $72.44 Median $91.20 Typical High $104.71 | Professional | HO · Master's level | $72.44 | $91.20 | $104.71 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $81.28 Median $102.33 Typical High $117.49 | Professional | TD · Registered nurse | $81.28 | $102.33 | $117.49 |
Where Virginia sits
The same service costs 2.3 times more in Alaska than in Kentucky. 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
$117
AK $224KY $95.50
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.