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 $12.88 Median $18.20 Typical High $39.81 | Facility | None | $12.88 | $18.20 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $14.45 Typical High $18.62 | Professional | None | $12.88 | $14.45 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $83.18 | Facility | None | $16.98 | $16.98 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $10.23 Typical High $12.59 | Professional | None | $7.24 | $10.23 | $12.59 |
CareFirst Setting Professional Modifier None Typical Low $12.30 Median $13.80 Typical High $20.42 | Professional | None | $12.30 | $13.80 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $28.84 Typical High $43.65 | Facility | None | $17.38 | $28.84 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $12.02 Typical High $32.36 | Professional | None | $8.51 | $12.02 | $32.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.98 Median $20.42 Typical High $25.12 | Professional | None | $16.98 | $20.42 | $25.12 |
Medcost Setting Facility Modifier None Typical Low $12.59 Median $14.45 Typical High $26.92 | Facility | None | $12.59 | $14.45 | $26.92 |
Medcost Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Sentara Setting Facility Modifier None Typical Low $14.13 Median $21.38 Typical High $7,413.10 | Facility | None | $14.13 | $21.38 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $14.13 Median $21.38 Typical High $7,413.10 | Professional | None | $14.13 | $21.38 | $7,413.10 |
United Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
United Setting Professional Modifier None Typical Low $7.24 Median $9.12 Typical High $16.98 | Professional | None | $7.24 | $9.12 | $16.98 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $7.24 Typical High $7.59 | Professional | 52 · Reduced service | $6.46 | $7.24 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.88 Typical High $3.02 | Professional | 53 · Discontinued | $2.57 | $2.88 | $3.02 |
Where Virginia sits
The same service costs 9.5 times more in Minnesota than in Kentucky. 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· 42nd of 51
$13.80
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.