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 $13.49 Median $16.98 Typical High $46.77 | Facility | None | $13.49 | $16.98 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $16.60 Typical High $16.98 | Professional | None | $13.49 | $16.60 | $16.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $89.13 | Facility | None | $18.20 | $18.20 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $10.72 Typical High $13.80 | Professional | None | $8.91 | $10.72 | $13.80 |
CareFirst Setting Professional Modifier None Typical Low $12.88 Median $14.45 Typical High $28.84 | Professional | None | $12.88 | $14.45 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $42.66 Typical High $83.18 | Facility | None | $18.20 | $42.66 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $15.85 Typical High $25.70 | Professional | None | $10.00 | $15.85 | $25.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $26.92 | Professional | None | $18.20 | $21.88 | $26.92 |
Medcost Setting Professional Modifier None Typical Low $6.31 Median $34.67 Typical High $40.74 | Professional | None | $6.31 | $34.67 | $40.74 |
Medcost Setting Facility Modifier None Typical Low $14.45 Median $17.78 Typical High $42.66 | Facility | None | $14.45 | $17.78 | $42.66 |
Medcost Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $47.86 | Professional | None | $17.78 | $17.78 | $47.86 |
Sentara Setting Facility Modifier None Typical Low $16.22 Median $30.90 Typical High $7,413.10 | Facility | None | $16.22 | $30.90 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $16.22 Median $30.90 Typical High $10,232.93 | Professional | None | $16.22 | $30.90 | $10,232.93 |
United Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
United Setting Professional Modifier None Typical Low $7.59 Median $12.02 Typical High $21.88 | Professional | None | $7.59 | $12.02 | $21.88 |
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 $6.76 Median $8.32 Typical High $8.51 | Professional | 52 · Reduced service | $6.76 | $8.32 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $3.31 Typical High $3.39 | Professional | 53 · Discontinued | $2.69 | $3.31 | $3.39 |
Where Virginia sits
The same service costs 4.7 times more in Kansas than in Texas. 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
$14.45
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.