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 $21.38 Median $27.54 Typical High $74.13 | Facility | None | $21.38 | $27.54 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $26.30 Typical High $27.54 | Professional | None | $21.38 | $26.30 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $141.25 | Facility | None | $28.84 | $28.84 | $141.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $17.38 Typical High $22.39 | Professional | None | $14.13 | $17.38 | $22.39 |
CareFirst Setting Professional Modifier None Typical Low $20.89 Median $22.91 Typical High $40.74 | Professional | None | $20.89 | $22.91 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $69.18 Typical High $114.82 | Facility | None | $29.51 | $69.18 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $22.39 Typical High $40.74 | Professional | None | $15.85 | $22.39 | $40.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.84 Median $34.67 Typical High $42.66 | Professional | None | $28.84 | $34.67 | $42.66 |
Medcost Setting Professional Modifier None Typical Low $23.99 Median $47.86 Typical High $56.23 | Professional | None | $23.99 | $47.86 | $56.23 |
Medcost Setting Facility Modifier None Typical Low $23.99 Median $26.30 Typical High $58.88 | Facility | None | $23.99 | $26.30 | $58.88 |
Medcost Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $33.11 | Professional | None | $24.55 | $24.55 | $33.11 |
Sentara Setting Facility Modifier None Typical Low $19.95 Median $40.74 Typical High $10,232.93 | Facility | None | $19.95 | $40.74 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $19.95 Median $40.74 Typical High $10,232.93 | Professional | None | $19.95 | $40.74 | $10,232.93 |
United Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
United Setting Professional Modifier None Typical Low $12.02 Median $17.38 Typical High $30.20 | Professional | None | $12.02 | $17.38 | $30.20 |
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 $10.72 Median $13.18 Typical High $13.49 | Professional | 52 · Reduced service | $10.72 | $13.18 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $5.25 Typical High $5.50 | Professional | 53 · Discontinued | $4.37 | $5.25 | $5.50 |
Where Virginia sits
The same service costs 5.5 times more in Kansas 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· 46th of 51
$22.91
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.