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 $120.23 Median $120.23 Typical High $123.03 | Facility | None | $120.23 | $120.23 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $123.03 Typical High $147.91 | Professional | None | $100.00 | $123.03 | $147.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $107.15 Median $128.82 Typical High $158.49 | Professional | None | $107.15 | $128.82 | $158.49 |
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 Facility Modifier None Typical Low $50.12 Median $173.78 Typical High $199.53 | Facility | None | $50.12 | $173.78 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $117.49 Typical High $177.83 | Professional | None | $64.57 | $117.49 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $141.25 Typical High $165.96 | Professional | None | $112.20 | $141.25 | $165.96 |
Medcost Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $83.18 | Professional | None | $57.54 | $57.54 | $83.18 |
Medcost Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $208.93 | Facility | None | $87.10 | $87.10 | $208.93 |
Medcost Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Sentara Setting Facility Modifier None Typical Low $36.31 Median $165.96 Typical High $10,232.93 | Facility | None | $36.31 | $165.96 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $46.77 Median $102.33 Typical High $281.84 | Professional | None | $46.77 | $102.33 | $281.84 |
United Setting Facility Modifier None Typical Low $112.20 Median $123.03 Typical High $275.42 | Facility | None | $112.20 | $123.03 | $275.42 |
United Setting Professional Modifier None Typical Low $51.29 Median $107.15 Typical High $181.97 | Professional | None | $51.29 | $107.15 | $181.97 |
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 $56.23 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $56.23 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $22.39 | $24.55 | $24.55 |
Where Virginia sits
The same service costs 4.2 times more in Alaska than in Alabama. 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· 24th of 51
$123
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.