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 $46.77 Median $46.77 Typical High $81.28 | Facility | None | $46.77 | $46.77 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $79.43 Typical High $81.28 | Professional | None | $46.77 | $79.43 | $81.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $83.18 Typical High $102.33 | Professional | None | $69.18 | $83.18 | $102.33 |
CareFirst Setting Professional Modifier None Typical Low $81.28 Median $89.13 Typical High $89.13 | Professional | None | $81.28 | $89.13 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $75.86 Typical High $117.49 | Professional | None | $66.07 | $75.86 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $93.33 Typical High $109.65 | Professional | None | $74.13 | $93.33 | $109.65 |
Medcost Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $81.28 | Facility | None | $46.77 | $46.77 | $81.28 |
Medcost Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Sentara Setting Facility Modifier None Typical Low $44.67 Median $125.89 Typical High $10,232.93 | Facility | None | $44.67 | $125.89 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $48.98 Median $102.33 Typical High $4,570.88 | Professional | None | $48.98 | $102.33 | $4,570.88 |
United Setting Professional Modifier None Typical Low $31.62 Median $57.54 Typical High $95.50 | Professional | None | $31.62 | $57.54 | $95.50 |
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 $23.44 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $23.44 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $15.85 Typical High $16.22 | Professional | 53 · Discontinued | $9.33 | $15.85 | $16.22 |
Where Virginia sits
The same service costs 6.6 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· 20th of 51
$81.28
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.