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 $21.88 Median $24.55 Typical High $67.61 | Facility | None | $21.88 | $24.55 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $24.55 Typical High $25.70 | Professional | None | $21.88 | $24.55 | $25.70 |
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 $12.30 Median $17.38 Typical High $21.38 | Professional | None | $12.30 | $17.38 | $21.38 |
CareFirst Setting Professional Modifier None Typical Low $20.89 Median $23.44 Typical High $34.67 | Professional | None | $20.89 | $23.44 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $64.57 Typical High $97.72 | Facility | None | $29.51 | $64.57 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $20.42 Typical High $41.69 | Professional | None | $14.45 | $20.42 | $41.69 |
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 $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 $23.44 Typical High $51.29 | Facility | None | $20.89 | $23.44 | $51.29 |
Medcost Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $26.30 | Professional | None | $21.38 | $21.38 | $26.30 |
Sentara Setting Facility Modifier None Typical Low $23.44 Median $40.74 Typical High $10,232.93 | Facility | None | $23.44 | $40.74 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $23.44 Median $40.74 Typical High $10,232.93 | Professional | None | $23.44 | $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 $12.30 Median $15.49 Typical High $28.84 | Professional | None | $12.30 | $15.49 | $28.84 |
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 $10.96 Median $12.30 Typical High $12.88 | Professional | 52 · Reduced service | $10.96 | $12.30 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.90 Typical High $5.13 | Professional | 53 · Discontinued | $4.37 | $4.90 | $5.13 |
Where Virginia sits
The same service costs 3.5 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· 44th of 51
$22.39
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.