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 Typical Low $14.13 Median $15.85 Typical High $15.85 | Professional | None | $14.13 | $15.85 | $15.85 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $91.20 | Facility | None | $18.62 | $18.62 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $10.96 Typical High $14.45 | Professional | None | $7.41 | $10.96 | $14.45 |
CareFirst Setting Professional Modifier None Typical Low $13.49 Median $14.79 Typical High $18.62 | Professional | None | $13.49 | $14.79 | $18.62 |
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 Typical Low $8.71 Median $11.48 Typical High $22.91 | Professional | None | $8.71 | $11.48 | $22.91 |
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 $9.77 Median $15.85 Typical High $23.99 | Facility | None | $9.77 | $15.85 | $23.99 |
Medcost Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Sentara Setting Facility Modifier None Typical Low $13.49 Median $20.42 Typical High $7,413.10 | Facility | None | $13.49 | $20.42 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $13.18 Median $21.38 Typical High $10,232.93 | Professional | None | $13.18 | $21.38 | $10,232.93 |
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 Typical Low $7.76 Median $9.77 Typical High $18.62 | Professional | None | $7.76 | $9.77 | $18.62 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $7.94 Typical High $8.32 | Professional | 52 · Reduced service | $6.92 | $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 |
Where Virginia sits
The same service costs 3.7 times more in Alaska than in Nebraska. 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· 39th of 51
$14.45
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.