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 $19.05 Median $23.44 Typical High $64.57 | Facility | None | $19.05 | $23.44 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $22.91 Typical High $23.44 | Professional | None | $19.05 | $22.91 | $23.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $125.89 | Facility | None | $25.70 | $25.70 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.30 Median $15.49 Typical High $19.50 | Professional | None | $12.30 | $15.49 | $19.50 |
CareFirst Setting Professional Modifier None Typical Low $18.20 Median $20.42 Typical High $34.67 | Professional | None | $18.20 | $20.42 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $61.66 Typical High $97.72 | Facility | None | $26.30 | $61.66 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $19.05 Typical High $36.31 | Professional | None | $13.80 | $19.05 | $36.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.70 Median $30.90 Typical High $38.02 | Professional | None | $25.70 | $30.90 | $38.02 |
Medcost Setting Professional Modifier None Typical Low $20.89 Median $41.69 Typical High $48.98 | Professional | None | $20.89 | $41.69 | $48.98 |
Medcost Setting Facility Modifier None Typical Low $20.89 Median $22.91 Typical High $51.29 | Facility | None | $20.89 | $22.91 | $51.29 |
Medcost Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $47.86 | Professional | None | $21.38 | $21.38 | $47.86 |
Sentara Setting Facility Modifier None Typical Low $22.39 Median $37.15 Typical High $10,232.93 | Facility | None | $22.39 | $37.15 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $22.39 Median $37.15 Typical High $10,232.93 | Professional | None | $22.39 | $37.15 | $10,232.93 |
United Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
United Setting Professional Modifier None Typical Low $10.72 Median $15.49 Typical High $26.30 | Professional | None | $10.72 | $15.49 | $26.30 |
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 $9.55 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $9.55 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.68 Typical High $4.68 | Professional | 53 · Discontinued | $3.80 | $4.68 | $4.68 |
Where Virginia sits
The same service costs 3.1 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· 45th of 51
$20.42
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.