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 $57.54 Median $85.11 Typical High $120.23 | Facility | None | $57.54 | $85.11 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $67.61 Typical High $85.11 | Professional | None | $57.54 | $67.61 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $63.10 Typical High $77.62 | Professional | None | $54.95 | $63.10 | $77.62 |
CareFirst Setting Professional Modifier None Typical Low $57.54 Median $63.10 Typical High $74.13 | Professional | None | $57.54 | $63.10 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $100.00 | Professional | None | $53.70 | $63.10 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $58.88 Typical High $89.13 | Professional | None | $52.48 | $58.88 | $89.13 |
Medcost Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
Medcost Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $117.49 | Facility | None | $77.62 | $77.62 | $117.49 |
Medcost Setting Professional Modifier None Typical Low $47.86 Median $67.61 Typical High $67.61 | Professional | None | $47.86 | $67.61 | $67.61 |
Sentara Setting Facility Modifier None Typical Low $45.71 Median $70.79 Typical High $213.80 | Facility | None | $45.71 | $70.79 | $213.80 |
Sentara Setting Professional Modifier None Typical Low $38.90 Median $67.61 Typical High $123.03 | Professional | None | $38.90 | $67.61 | $123.03 |
United Setting Professional Modifier None Typical Low $47.86 Median $75.86 Typical High $123.03 | Professional | None | $47.86 | $75.86 | $123.03 |
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 53 · Discontinued Typical Low $11.48 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $11.48 | $13.80 | $13.80 |
Where Virginia sits
The same service costs 3.1 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· 29th of 51
$66.07
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.