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 $67.61 Median $67.61 Typical High $74.13 | Facility | None | $67.61 | $67.61 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $74.13 Typical High $74.13 | Professional | None | $67.61 | $74.13 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $75.86 Typical High $93.33 | Professional | None | $64.57 | $75.86 | $93.33 |
CareFirst Setting Professional Modifier None Typical Low $74.13 Median $77.62 Typical High $91.20 | Professional | None | $74.13 | $77.62 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $64.57 Typical High $93.33 | Professional | None | $58.88 | $64.57 | $93.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $85.11 Typical High $114.82 | Professional | None | $69.18 | $85.11 | $114.82 |
Medcost Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Medcost Setting Facility Modifier None Typical Low $67.61 Median $95.50 Typical High $134.90 | Facility | None | $67.61 | $95.50 | $134.90 |
Medcost Setting Professional Modifier None Typical Low $56.23 Median $407.38 Typical High $467.74 | Professional | None | $56.23 | $407.38 | $467.74 |
Sentara Setting Facility Modifier None Typical Low $70.79 Median $95.50 Typical High $10,232.93 | Facility | None | $70.79 | $95.50 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $69.18 Median $77.62 Typical High $109.65 | Professional | None | $69.18 | $77.62 | $109.65 |
United Setting Professional Modifier None Typical Low $53.70 Median $67.61 Typical High $114.82 | Professional | None | $53.70 | $67.61 | $114.82 |
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 $33.88 Median $36.31 Typical High $37.15 | Professional | 52 · Reduced service | $33.88 | $36.31 | $37.15 |
Where Virginia sits
The same service costs 3.0 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
$74.13
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.