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 $46.77 Typical High $67.61 | Facility | None | $19.05 | $46.77 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $22.39 Typical High $35.48 | Professional | None | $19.05 | $22.39 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $123.03 | Facility | None | $25.12 | $25.12 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.59 Median $15.14 Typical High $19.50 | Professional | None | $12.59 | $15.14 | $19.50 |
CareFirst Setting Professional Modifier None Typical Low $18.20 Median $20.42 Typical High $35.48 | Professional | None | $18.20 | $20.42 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $60.26 Typical High $100.00 | Facility | None | $25.70 | $60.26 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $19.50 Typical High $36.31 | Professional | None | $13.80 | $19.50 | $36.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.12 Median $30.20 Typical High $37.15 | Professional | None | $25.12 | $30.20 | $37.15 |
Medcost Setting Professional Modifier None Typical Low $20.89 Median $42.66 Typical High $48.98 | Professional | None | $20.89 | $42.66 | $48.98 |
Medcost Setting Facility Modifier None Typical Low $20.89 Median $22.39 Typical High $51.29 | Facility | None | $20.89 | $22.39 | $51.29 |
Medcost Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $28.18 | Professional | None | $21.88 | $21.88 | $28.18 |
Sentara Setting Facility Modifier None Typical Low $22.91 Median $40.74 Typical High $7,413.10 | Facility | None | $22.91 | $40.74 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $22.91 Median $41.69 Typical High $10,232.93 | Professional | None | $22.91 | $41.69 | $10,232.93 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $10.72 Median $15.14 Typical High $26.30 | Professional | None | $10.72 | $15.14 | $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 $12.02 | Professional | 52 · Reduced service | $9.55 | $11.75 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.68 Typical High $4.79 | Professional | 53 · Discontinued | $3.80 | $4.68 | $4.79 |
Where Virginia sits
The same service costs 3.7 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· 43rd of 51
$20.89
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.