How much rates vary
Facilitymedian $35 · 10th to 90th $18 to $110Professionalmedian $35 · 10th to 90th $20 to $50
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 $18.20 Median $33.88 Typical High $50.12 | Facility | None | $18.20 | $33.88 | $50.12 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $10.72 Median $15.14 Typical High $25.12 | Facility | 52 · Reduced service | $10.72 | $15.14 | $25.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.27 Median $6.03 Typical High $10.00 | Facility | 53 · Discontinued | $4.27 | $6.03 | $10.00 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $30.90 Typical High $50.12 | Professional | None | $19.95 | $30.90 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $16.98 Typical High $25.12 | Professional | 52 · Reduced service | $10.72 | $16.98 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $6.76 Typical High $10.00 | Professional | 53 · Discontinued | $4.27 | $6.76 | $10.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.91 Median $33.11 Typical High $46.77 | Professional | None | $22.91 | $33.11 | $46.77 |
CareFirst Setting Professional Modifier None Typical Low $24.55 Median $26.92 Typical High $26.92 | Professional | None | $24.55 | $26.92 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $47.86 Typical High $54.95 | Professional | None | $30.90 | $47.86 | $54.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.42 Median $37.15 Typical High $58.88 | Professional | None | $20.42 | $37.15 | $58.88 |
Medcost Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Medcost Setting Facility Modifier None Typical Low $23.44 Median $39.81 Typical High $63.10 | Facility | None | $23.44 | $39.81 | $63.10 |
Medcost Setting Professional Modifier None Typical Low $35.48 Median $38.02 Typical High $54.95 | Professional | None | $35.48 | $38.02 | $54.95 |
Sentara Setting Facility Modifier None Typical Low $19.05 Median $32.36 Typical High $10,232.93 | Facility | None | $19.05 | $32.36 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $66.07 | Professional | None | $46.77 | $52.48 | $66.07 |
United Setting Facility Modifier None Typical Low $251.19 Median $275.42 Typical High $616.60 | Facility | None | $251.19 | $275.42 | $616.60 |
United Setting Professional Modifier None Typical Low $24.55 Median $42.66 Typical High $63.10 | Professional | None | $24.55 | $42.66 | $63.10 |
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 $21.38 Median $40.74 Typical High $50.12 | Facility | AF · Specialist physician | $21.38 | $40.74 | $50.12 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $16.22 Median $30.90 Typical High $37.15 | Facility | HO · Master's level | $16.22 | $30.90 | $37.15 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $18.20 Median $34.67 Typical High $42.66 | Facility | TD · Registered nurse | $18.20 | $34.67 | $42.66 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $21.38 Median $27.54 Typical High $50.12 | Professional | AF · Specialist physician | $21.38 | $27.54 | $50.12 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $16.22 Median $20.89 Typical High $37.15 | Professional | HO · Master's level | $16.22 | $20.89 | $37.15 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $18.20 Median $23.44 Typical High $42.66 | Professional | TD · Registered nurse | $18.20 | $23.44 | $42.66 |
Where Virginia sits
The same service costs 2.3 times more in Hawaii than in Washington, DC. 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· 40th of 51
$34.67
HI $63.10DC $26.92
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.