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 $41.69 Median $41.69 Typical High $50.12 | Facility | None | $41.69 | $41.69 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $50.12 | Professional | None | $41.69 | $41.69 | $50.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.90 Median $46.77 Typical High $56.23 | Professional | None | $38.90 | $46.77 | $56.23 |
CareFirst Setting Professional Modifier None Typical Low $40.74 Median $45.71 Typical High $45.71 | Professional | None | $40.74 | $45.71 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $42.66 Typical High $66.07 | Professional | None | $38.02 | $42.66 | $66.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $48.98 Typical High $57.54 | Professional | None | $41.69 | $48.98 | $57.54 |
Medcost Setting Facility Modifier None Typical Low $50.12 Median $60.26 Typical High $85.11 | Facility | None | $50.12 | $60.26 | $85.11 |
Medcost Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Sentara Setting Facility Modifier None Typical Low $43.65 Median $87.10 Typical High $10,232.93 | Facility | None | $43.65 | $87.10 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $43.65 Median $64.57 Typical High $4,570.88 | Professional | None | $43.65 | $64.57 | $4,570.88 |
United Setting Professional Modifier None Typical Low $35.48 Median $48.98 Typical High $79.43 | Professional | None | $35.48 | $48.98 | $79.43 |
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 $20.89 Median $20.89 Typical High $24.55 | Professional | 52 · Reduced service | $20.89 | $20.89 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $10.00 | Professional | 53 · Discontinued | $8.32 | $8.32 | $10.00 |
Where Virginia sits
The same service costs 4.4 times more in Alaska than in Missouri. 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· 34th of 51
$45.71
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.