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 $28.84 Median $70.79 Typical High $104.71 | Facility | None | $28.84 | $70.79 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $33.88 Typical High $38.90 | Professional | None | $28.84 | $33.88 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $190.55 | Facility | None | $38.90 | $38.90 | $190.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.05 Median $23.44 Typical High $29.51 | Professional | None | $19.05 | $23.44 | $29.51 |
CareFirst Setting Professional Modifier None Typical Low $27.54 Median $30.90 Typical High $53.70 | Professional | None | $27.54 | $30.90 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $93.33 Typical High $151.36 | Facility | None | $38.90 | $93.33 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $29.51 Typical High $54.95 | Professional | None | $21.38 | $29.51 | $54.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $46.77 Typical High $57.54 | Professional | None | $38.90 | $46.77 | $57.54 |
Medcost Setting Professional Modifier None Typical Low $32.36 Median $64.57 Typical High $75.86 | Professional | None | $32.36 | $64.57 | $75.86 |
Medcost Setting Facility Modifier None Typical Low $31.62 Median $33.88 Typical High $79.43 | Facility | None | $31.62 | $33.88 | $79.43 |
Medcost Setting Professional Modifier None Typical Low $30.20 Median $33.11 Typical High $33.11 | Professional | None | $30.20 | $33.11 | $33.11 |
Sentara Setting Facility Modifier None Typical Low $30.20 Median $56.23 Typical High $7,413.10 | Facility | None | $30.20 | $56.23 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $30.20 Median $56.23 Typical High $10,232.93 | Professional | None | $30.20 | $56.23 | $10,232.93 |
United Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $104.71 | Facility | None | $46.77 | $46.77 | $104.71 |
United Setting Professional Modifier None Typical Low $16.22 Median $22.91 Typical High $40.74 | Professional | None | $16.22 | $22.91 | $40.74 |
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 $14.45 Median $17.78 Typical High $18.20 | Professional | 52 · Reduced service | $14.45 | $17.78 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $7.08 Typical High $7.24 | Professional | 53 · Discontinued | $5.75 | $7.08 | $7.24 |
Where Virginia sits
The same service costs 4.7 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· 43rd of 51
$31.62
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.