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 $17.78 Median $17.78 Typical High $131.83 | Facility | None | $17.78 | $17.78 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $131.83 Typical High $131.83 | Professional | None | $17.78 | $131.83 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $138.04 Typical High $165.96 | Professional | None | $114.82 | $138.04 | $165.96 |
CareFirst Setting Professional Modifier None Typical Low $131.83 Median $147.91 Typical High $147.91 | Professional | None | $131.83 | $147.91 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $123.03 Typical High $190.55 | Professional | None | $109.65 | $123.03 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $151.36 Typical High $177.83 | Professional | None | $120.23 | $151.36 | $177.83 |
Medcost Setting Facility Modifier None Typical Low $17.78 Median $30.90 Typical High $38.02 | Facility | None | $17.78 | $30.90 | $38.02 |
Medcost Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Sentara Setting Facility Modifier None Typical Low $32.36 Median $234.42 Typical High $10,232.93 | Facility | None | $32.36 | $234.42 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $22.39 Median $186.21 Typical High $4,570.88 | Professional | None | $22.39 | $186.21 | $4,570.88 |
United Setting Professional Modifier None Typical Low $89.13 Median $131.83 Typical High $213.80 | Professional | None | $89.13 | $131.83 | $213.80 |
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 $8.91 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $8.91 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $3.55 | $26.30 | $26.30 |
Where Virginia sits
The same service costs 21.4 times more in Alaska than in New York. 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· 25th of 51
$135
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.