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 $14.13 Median $15.85 Typical High $43.65 | Facility | None | $14.13 | $15.85 | $43.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $14.13 Median $15.85 Typical High $15.85 | Professional | None (both parts) | $14.13 | $15.85 | $15.85 |
Anthem BCBS Setting Facility Modifier None Typical Low $70.79 Median $91.20 Typical High $114.82 | Facility | None | $70.79 | $91.20 | $114.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $7.59 Median $11.22 Typical High $13.80 | Professional | None (both parts) | $7.59 | $11.22 | $13.80 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $13.49 Median $14.79 Typical High $14.79 | Professional | None (both parts) | $13.49 | $14.79 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $30.90 Typical High $45.71 | Facility | None | $19.05 | $30.90 | $45.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $7.76 Median $21.38 Typical High $26.92 | Professional | None (both parts) | $7.76 | $21.38 | $26.92 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.62 Median $22.39 Typical High $27.54 | Professional | None | $18.62 | $22.39 | $27.54 |
Medcost Setting Facility Modifier None Typical Low $12.02 Median $15.85 Typical High $33.88 | Facility | None | $12.02 | $15.85 | $33.88 |
Medcost Setting Professional Modifier None (both parts) Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None (both parts) | $15.14 | $15.14 | $15.14 |
Sentara Setting Facility Modifier None Typical Low $13.18 Median $21.38 Typical High $41.69 | Facility | None | $13.18 | $21.38 | $41.69 |
Sentara Setting Professional Modifier None (both parts) Typical Low $13.18 Median $21.38 Typical High $41.69 | Professional | None (both parts) | $13.18 | $21.38 | $41.69 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
United Setting Professional Modifier None (both parts) Typical Low $7.76 Median $9.77 Typical High $18.62 | Professional | None (both parts) | $7.76 | $9.77 | $18.62 |
3 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.08 Median $7.94 Typical High $8.32 | Professional | 52 · Reduced service | $7.08 | $7.94 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.16 Typical High $3.31 | Professional | 53 · Discontinued | $2.82 | $3.16 | $3.31 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $21.38 Typical High $26.92 | Professional | TC · Technical part | $13.18 | $21.38 | $26.92 |
Where Virginia sits
The same service costs 10.5 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· 36th of 51
$13.49
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.