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 $28.84 Median $48.98 Typical High $100.00 | Facility | None | $28.84 | $48.98 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $35.48 Typical High $53.70 | Professional | None | $28.84 | $35.48 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $190.55 | Facility | None | $38.90 | $38.90 | $190.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.05 Median $23.44 Typical High $28.18 | Professional | None | $19.05 | $23.44 | $28.18 |
CareFirst Setting Professional Modifier None Typical Low $27.54 Median $30.90 Typical High $53.70 | Professional | None | $27.54 | $30.90 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $93.33 Typical High $151.36 | Facility | None | $38.90 | $93.33 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $29.51 Typical High $50.12 | Professional | None | $21.38 | $29.51 | $50.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $45.71 Typical High $57.54 | Professional | None | $38.90 | $45.71 | $57.54 |
Medcost Setting Professional Modifier None Typical Low $31.62 Median $64.57 Typical High $75.86 | Professional | None | $31.62 | $64.57 | $75.86 |
Medcost Setting Facility Modifier None Typical Low $31.62 Median $33.88 Typical High $79.43 | Facility | None | $31.62 | $33.88 | $79.43 |
Medcost Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $66.07 | Professional | None | $33.11 | $33.11 | $66.07 |
Sentara Setting Facility Modifier None Typical Low $34.67 Median $66.07 Typical High $7,413.10 | Facility | None | $34.67 | $66.07 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $34.67 Median $66.07 Typical High $10,232.93 | Professional | None | $34.67 | $66.07 | $10,232.93 |
United Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
United Setting Professional Modifier None Typical Low $16.22 Median $22.91 Typical High $40.74 | Professional | None | $16.22 | $22.91 | $40.74 |
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 $14.45 Median $17.78 Typical High $18.20 | Professional | 52 · Reduced service | $14.45 | $17.78 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $7.08 Typical High $7.24 | Professional | 53 · Discontinued | $5.75 | $7.08 | $7.24 |
Where Virginia sits
The same service costs 3.6 times more in Alaska than in Maryland. 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· 45th of 51
$30.90
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.