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 $54.95 Median $57.54 Typical High $61.66 | Facility | None | $54.95 | $57.54 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $57.54 Typical High $61.66 | Professional | None | $54.95 | $57.54 | $61.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $67.61 Typical High $81.28 | Professional | None | $54.95 | $67.61 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $57.54 Median $70.79 Typical High $93.33 | Professional | None | $57.54 | $70.79 | $93.33 |
Medcost Setting Facility Modifier None Typical Low $54.95 Median $83.18 Typical High $112.20 | Facility | None | $54.95 | $83.18 | $112.20 |
Medcost Setting Professional Modifier None Typical Low $42.66 Median $54.95 Typical High $63.10 | Professional | None | $42.66 | $54.95 | $63.10 |
Sentara Setting Facility Modifier None Typical Low $40.74 Median $69.18 Typical High $331.13 | Facility | None | $40.74 | $69.18 | $331.13 |
Sentara Setting Professional Modifier None Typical Low $39.81 Median $64.57 Typical High $89.13 | Professional | None | $39.81 | $64.57 | $89.13 |
United Setting Professional Modifier None Typical Low $47.86 Median $58.88 Typical High $97.72 | Professional | None | $47.86 | $58.88 | $97.72 |
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 $27.54 Median $28.84 Typical High $30.90 | Professional | 52 · Reduced service | $27.54 | $28.84 | $30.90 |
Where Virginia sits
The same service costs 2.8 times more in Alaska than in Alabama. 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· 31st of 51
$63.10
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.