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 $20.42 Median $22.91 Typical High $63.10 | Facility | None | $20.42 | $22.91 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $22.91 Typical High $22.91 | Professional | None | $20.42 | $22.91 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $131.83 | Facility | None | $26.92 | $26.92 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $16.22 Typical High $19.95 | Professional | None | $10.96 | $16.22 | $19.95 |
CareFirst Setting Professional Modifier None Typical Low $19.50 Median $21.88 Typical High $26.92 | Professional | None | $19.50 | $21.88 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $45.71 Typical High $67.61 | Facility | None | $27.54 | $45.71 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $16.98 Typical High $33.11 | Professional | None | $12.88 | $16.98 | $33.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.92 Median $32.36 Typical High $39.81 | Professional | None | $26.92 | $32.36 | $39.81 |
Medcost Setting Facility Modifier None Typical Low $13.80 Median $22.91 Typical High $35.48 | Facility | None | $13.80 | $22.91 | $35.48 |
Medcost Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Sentara Setting Facility Modifier None Typical Low $19.50 Median $29.51 Typical High $7,413.10 | Facility | None | $19.50 | $29.51 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $19.50 Median $29.51 Typical High $7,413.10 | Professional | None | $19.50 | $29.51 | $7,413.10 |
United Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $11.48 Median $14.13 Typical High $26.92 | Professional | None | $11.48 | $14.13 | $26.92 |
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 $10.23 Median $11.48 Typical High $12.02 | Professional | 52 · Reduced service | $10.23 | $11.48 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.57 Typical High $4.79 | Professional | 53 · Discontinued | $4.07 | $4.57 | $4.79 |
Where Virginia sits
The same service costs 4.0 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· 35th of 51
$20.89
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.