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 $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $35.48 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $14.79 | $45.71 | $45.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $81.28 Typical High $100.00 | Professional | None (both parts) | $75.86 | $81.28 | $100.00 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $72.44 Median $100.00 Typical High $109.65 | Professional | None (both parts) | $72.44 | $100.00 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $70.79 | Professional | None | $47.86 | $56.23 | $70.79 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.50 Typical High $24.55 | Professional | 26 · Professional part | $17.38 | $19.50 | $24.55 |
Medcost Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $87.10 | Facility | None | $67.61 | $67.61 | $87.10 |
Medcost Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None (both parts) | $45.71 | $45.71 | $45.71 |
Sentara Setting Facility Modifier None Typical Low $17.78 Median $40.74 Typical High $128.82 | Facility | None | $17.78 | $40.74 | $128.82 |
Sentara Setting Professional Modifier None (both parts) Typical Low $21.88 Median $48.98 Typical High $89.13 | Professional | None (both parts) | $21.88 | $48.98 | $89.13 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $18.20 Typical High $48.98 | Professional | 26 · Professional part | $17.78 | $18.20 | $48.98 |
2 more rates 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 |
|---|---|---|---|---|---|
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $37.15 Typical High $45.71 | Professional | TC · Technical part | $30.90 | $37.15 | $45.71 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $33.88 Typical High $61.66 | Professional | TC · Technical part | $31.62 | $33.88 | $61.66 |
Where Virginia sits
The same service costs 10.5 times more in Arizona than in West Virginia. 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· 24th of 51
$75.86
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.