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 $33.11 Median $37.15 Typical High $102.33 | Facility | None | $33.11 | $37.15 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $37.15 Typical High $38.90 | Professional | None | $33.11 | $37.15 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $213.80 | Facility | None | $43.65 | $43.65 | $213.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.78 Median $25.12 Typical High $32.36 | Professional | None | $17.78 | $25.12 | $32.36 |
CareFirst Setting Professional Modifier None Typical Low $25.12 Median $35.48 Typical High $35.48 | Professional | None | $25.12 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $70.79 Typical High $109.65 | Facility | None | $42.66 | $70.79 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $26.30 Typical High $50.12 | Professional | None | $12.02 | $26.30 | $50.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $43.65 Median $52.48 Typical High $64.57 | Professional | None | $43.65 | $52.48 | $64.57 |
Medcost Setting Professional Modifier None Typical Low $15.14 Median $30.20 Typical High $35.48 | Professional | None | $15.14 | $30.20 | $35.48 |
Medcost Setting Facility Modifier None Typical Low $15.49 Median $35.48 Typical High $43.65 | Facility | None | $15.49 | $35.48 | $43.65 |
Medcost Setting Professional Modifier None Typical Low $11.22 Median $15.49 Typical High $15.49 | Professional | None | $11.22 | $15.49 | $15.49 |
Sentara Setting Facility Modifier None Typical Low $28.18 Median $52.48 Typical High $10,232.93 | Facility | None | $28.18 | $52.48 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $28.84 Median $52.48 Typical High $10,232.93 | Professional | None | $28.84 | $52.48 | $10,232.93 |
United Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
United Setting Professional Modifier None Typical Low $10.72 Median $19.05 Typical High $28.84 | Professional | None | $10.72 | $19.05 | $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 $16.60 Median $18.62 Typical High $19.50 | Professional | 52 · Reduced service | $16.60 | $18.62 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.41 Typical High $7.76 | Professional | 53 · Discontinued | $6.61 | $7.41 | $7.76 |
Where Virginia sits
The same service costs 5.6 times more in Alaska than in Georgia. 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· 30th of 51
$31.62
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.