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 $40.74 Median $52.48 Typical High $131.83 | Facility | None | $40.74 | $52.48 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $43.65 Typical High $54.95 | Professional | None | $40.74 | $43.65 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $40.74 Median $50.12 Typical High $57.54 | Professional | None | $40.74 | $50.12 | $57.54 |
CareFirst Setting Professional Modifier None Typical Low $53.70 Median $58.88 Typical High $58.88 | Professional | None | $53.70 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $54.95 Typical High $81.28 | Professional | None | $42.66 | $54.95 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $75.86 Typical High $85.11 | Professional | None | $61.66 | $75.86 | $85.11 |
Medcost Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Medcost Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $114.82 | Facility | None | $69.18 | $69.18 | $114.82 |
Sentara Setting Facility Modifier None Typical Low $51.29 Median $85.11 Typical High $10,232.93 | Facility | None | $51.29 | $85.11 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $44.67 Median $51.29 Typical High $114.82 | Professional | None | $44.67 | $51.29 | $114.82 |
United Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $41.69 Median $54.95 Typical High $74.13 | Professional | None | $41.69 | $54.95 | $74.13 |
1 more rate 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 $20.42 Median $20.42 Typical High $26.92 | Professional | 52 · Reduced service | $20.42 | $20.42 | $26.92 |
Where Virginia sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 41st of 51
$51.29
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.