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 $10.00 Median $24.55 Typical High $36.31 | Facility | None | $10.00 | $24.55 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $12.59 Typical High $33.11 | Professional | None | $10.00 | $12.59 | $33.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $66.07 | Facility | None | $13.49 | $13.49 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.61 Median $8.13 Typical High $10.23 | Professional | None | $6.61 | $8.13 | $10.23 |
CareFirst Setting Professional Modifier None Typical Low $9.77 Median $10.72 Typical High $18.62 | Professional | None | $9.77 | $10.72 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $32.36 Typical High $52.48 | Facility | None | $13.80 | $32.36 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $10.23 Typical High $19.50 | Professional | None | $7.41 | $10.23 | $19.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.49 Median $16.22 Typical High $19.95 | Professional | None | $13.49 | $16.22 | $19.95 |
Medcost Setting Professional Modifier None Typical Low $11.22 Median $22.39 Typical High $26.30 | Professional | None | $11.22 | $22.39 | $26.30 |
Medcost Setting Facility Modifier None Typical Low $11.22 Median $11.75 Typical High $27.54 | Facility | None | $11.22 | $11.75 | $27.54 |
Medcost Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $12.88 | Professional | None | $11.48 | $11.48 | $12.88 |
Sentara Setting Facility Modifier None Typical Low $12.02 Median $21.88 Typical High $7,413.10 | Facility | None | $12.02 | $21.88 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $12.02 Median $22.39 Typical High $10,232.93 | Professional | None | $12.02 | $22.39 | $10,232.93 |
United Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
United Setting Professional Modifier None Typical Low $5.62 Median $8.13 Typical High $14.13 | Professional | None | $5.62 | $8.13 | $14.13 |
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 $5.01 Median $6.17 Typical High $6.31 | Professional | 52 · Reduced service | $5.01 | $6.17 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.45 Typical High $2.51 | Professional | 53 · Discontinued | $2.04 | $2.45 | $2.51 |
Where Virginia sits
The same service costs 3.7 times more in Alaska than in Maryland. 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· 40th of 51
$11.48
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.