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 $20.89 Median $26.30 Typical High $72.44 | Facility | None | $20.89 | $26.30 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $25.70 Typical High $26.30 | Professional | None | $20.89 | $25.70 | $26.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $134.90 | Facility | None | $27.54 | $27.54 | $134.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.80 Median $16.60 Typical High $21.38 | Professional | None | $13.80 | $16.60 | $21.38 |
CareFirst Setting Professional Modifier None Typical Low $19.95 Median $22.39 Typical High $38.90 | Professional | None | $19.95 | $22.39 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $66.07 Typical High $109.65 | Facility | None | $28.18 | $66.07 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $21.38 Typical High $39.81 | Professional | None | $15.49 | $21.38 | $39.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $27.54 Median $33.11 Typical High $40.74 | Professional | None | $27.54 | $33.11 | $40.74 |
Medcost Setting Professional Modifier None Typical Low $22.91 Median $46.77 Typical High $54.95 | Professional | None | $22.91 | $46.77 | $54.95 |
Medcost Setting Facility Modifier None Typical Low $22.39 Median $25.70 Typical High $57.54 | Facility | None | $22.39 | $25.70 | $57.54 |
Medcost Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $31.62 | Professional | None | $23.99 | $23.99 | $31.62 |
Sentara Setting Facility Modifier None Typical Low $21.38 Median $39.81 Typical High $7,413.10 | Facility | None | $21.38 | $39.81 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $21.38 Median $39.81 Typical High $10,232.93 | Professional | None | $21.38 | $39.81 | $10,232.93 |
United Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $83.18 | Facility | None | $33.11 | $33.11 | $83.18 |
United Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $28.84 | Professional | None | $11.75 | $16.60 | $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 $10.47 Median $12.88 Typical High $13.18 | Professional | 52 · Reduced service | $10.47 | $12.88 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $5.13 Typical High $5.25 | Professional | 53 · Discontinued | $4.17 | $5.13 | $5.25 |
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.