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 $60.26 Median $60.26 Typical High $66.07 | Facility | None | $60.26 | $60.26 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $66.07 | Professional | None | $60.26 | $60.26 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $69.18 Typical High $83.18 | Professional | None | $60.26 | $69.18 | $83.18 |
CareFirst Setting Professional Modifier None Typical Low $60.26 Median $63.10 Typical High $77.62 | Professional | None | $60.26 | $63.10 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $60.26 Typical High $100.00 | Professional | None | $53.70 | $60.26 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $54.95 Median $60.26 Typical High $81.28 | Professional | None | $54.95 | $60.26 | $81.28 |
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 $87.10 Median $87.10 Typical High $120.23 | Facility | None | $87.10 | $87.10 | $120.23 |
Medcost Setting Professional Modifier None Typical Low $70.79 Median $109.65 Typical High $125.89 | Professional | None | $70.79 | $109.65 | $125.89 |
Sentara Setting Facility Modifier None Typical Low $48.98 Median $85.11 Typical High $10,232.93 | Facility | None | $48.98 | $85.11 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $64.57 Median $74.13 Typical High $97.72 | Professional | None | $64.57 | $74.13 | $97.72 |
United Setting Professional Modifier None Typical Low $48.98 Median $61.66 Typical High $107.15 | Professional | None | $48.98 | $61.66 | $107.15 |
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 $30.20 Median $30.20 Typical High $33.11 | Professional | 52 · Reduced service | $30.20 | $30.20 | $33.11 |
Where Virginia sits
The same service costs 2.8 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· 33rd of 51
$67.61
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.