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 $10.72 Median $12.02 Typical High $33.11 | Facility | None | $10.72 | $12.02 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $12.02 Typical High $12.02 | Professional | None | $10.72 | $12.02 | $12.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $69.18 | Facility | None | $14.13 | $14.13 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $8.51 Typical High $10.47 | Professional | None | $5.62 | $8.51 | $10.47 |
CareFirst Setting Professional Modifier None Typical Low $10.23 Median $11.22 Typical High $12.02 | Professional | None | $10.23 | $11.22 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $27.54 Typical High $36.31 | Facility | None | $14.45 | $27.54 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $8.51 Typical High $16.60 | Professional | None | $5.75 | $8.51 | $16.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.13 Median $16.98 Typical High $20.89 | Professional | None | $14.13 | $16.98 | $20.89 |
Medcost Setting Professional Modifier None Typical Low $7.08 Median $14.45 Typical High $16.60 | Professional | None | $7.08 | $14.45 | $16.60 |
Medcost Setting Facility Modifier None Typical Low $7.24 Median $11.22 Typical High $17.78 | Facility | None | $7.24 | $11.22 | $17.78 |
Medcost Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $11.22 | Professional | None | $7.41 | $7.41 | $11.22 |
Sentara Setting Facility Modifier None Typical Low $10.23 Median $16.60 Typical High $10,232.93 | Facility | None | $10.23 | $16.60 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $10.23 Median $16.60 Typical High $10,232.93 | Professional | None | $10.23 | $16.60 | $10,232.93 |
United Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $75.86 | Facility | None | $16.98 | $16.98 | $75.86 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.08 Typical High $12.02 | Professional | None | $5.01 | $7.08 | $12.02 |
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 $5.37 Median $6.03 Typical High $6.31 | Professional | 52 · Reduced service | $5.37 | $6.03 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.40 Typical High $2.51 | Professional | 53 · Discontinued | $2.14 | $2.40 | $2.51 |
Where Virginia sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 37th of 51
$10.72
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.