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 $17.38 Median $20.42 Typical High $53.70 | Facility | None | $17.38 | $20.42 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $19.05 Typical High $20.42 | Professional | None | $12.59 | $19.05 | $20.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $112.20 | Facility | None | $22.91 | $22.91 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $13.80 Typical High $16.98 | Professional | None | $9.12 | $13.80 | $16.98 |
CareFirst Setting Professional Modifier None Typical Low $16.60 Median $18.20 Typical High $22.91 | Professional | None | $16.60 | $18.20 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $38.02 Typical High $57.54 | Facility | None | $23.44 | $38.02 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $22.91 Typical High $33.11 | Professional | None | $11.48 | $22.91 | $33.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.91 Median $27.54 Typical High $33.88 | Professional | None | $22.91 | $27.54 | $33.88 |
Medcost Setting Facility Modifier None Typical Low $12.02 Median $18.20 Typical High $29.51 | Facility | None | $12.02 | $18.20 | $29.51 |
Medcost Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Sentara Setting Facility Modifier None Typical Low $16.22 Median $25.12 Typical High $7,413.10 | Facility | None | $16.22 | $25.12 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $16.22 Median $25.12 Typical High $7,413.10 | Professional | None | $16.22 | $25.12 | $7,413.10 |
United Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
United Setting Professional Modifier None Typical Low $9.55 Median $12.02 Typical High $22.91 | Professional | None | $9.55 | $12.02 | $22.91 |
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 $8.71 Median $9.77 Typical High $10.23 | Professional | 52 · Reduced service | $8.71 | $9.77 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.89 Typical High $4.07 | Professional | 53 · Discontinued | $3.47 | $3.89 | $4.07 |
Where Virginia sits
The same service costs 9.8 times more in Vermont 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· 41st of 51
$17.78
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.