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 $70.79 Median $79.43 Typical High $158.49 | Facility | None | $70.79 | $79.43 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $107.15 | Professional | None | $70.79 | $79.43 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $87.10 Typical High $104.71 | Professional | None | $70.79 | $87.10 | $104.71 |
CareFirst Setting Professional Modifier None Typical Low $63.10 Median $66.07 Typical High $79.43 | Professional | None | $63.10 | $66.07 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $70.79 Typical High $102.33 | Professional | None | $64.57 | $70.79 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $75.86 Median $95.50 Typical High $125.89 | Professional | None | $75.86 | $95.50 | $125.89 |
Medcost Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Medcost Setting Facility Modifier None Typical Low $70.79 Median $107.15 Typical High $144.54 | Facility | None | $70.79 | $107.15 | $144.54 |
Medcost Setting Professional Modifier None Typical Low $64.57 Median $407.38 Typical High $467.74 | Professional | None | $64.57 | $407.38 | $467.74 |
Sentara Setting Facility Modifier None Typical Low $77.62 Median $102.33 Typical High $7,413.10 | Facility | None | $77.62 | $102.33 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $79.43 Median $91.20 Typical High $125.89 | Professional | None | $79.43 | $91.20 | $125.89 |
United Setting Facility Modifier None Typical Low $190.55 Median $213.80 Typical High $467.74 | Facility | None | $190.55 | $213.80 | $467.74 |
United Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $125.89 | Professional | None | $61.66 | $72.44 | $125.89 |
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 $35.48 Median $38.90 Typical High $41.69 | Professional | 52 · Reduced service | $35.48 | $38.90 | $41.69 |
Where Virginia sits
The same service costs 2.8 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· 28th 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.