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 $23.99 Typical High $64.57 | Facility | None | $20.89 | $23.99 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $23.99 Typical High $25.70 | Professional | None | $20.89 | $23.99 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $138.04 | Facility | None | $28.18 | $28.18 | $138.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $16.98 Typical High $20.42 | Professional | None | $11.22 | $16.98 | $20.42 |
CareFirst Setting Professional Modifier None Typical Low $19.95 Median $22.39 Typical High $28.18 | Professional | None | $19.95 | $22.39 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $46.77 Typical High $69.18 | Facility | None | $28.18 | $46.77 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $17.38 Typical High $34.67 | Professional | None | $13.18 | $17.38 | $34.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.18 Median $33.88 Typical High $41.69 | Professional | None | $28.18 | $33.88 | $41.69 |
Medcost Setting Facility Modifier None Typical Low $14.45 Median $23.99 Typical High $36.31 | Facility | None | $14.45 | $23.99 | $36.31 |
Medcost Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Sentara Setting Facility Modifier None Typical Low $19.95 Median $30.90 Typical High $7,413.10 | Facility | None | $19.95 | $30.90 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $19.95 Median $32.36 Typical High $10,232.93 | Professional | None | $19.95 | $32.36 | $10,232.93 |
United Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
United Setting Professional Modifier None Typical Low $11.75 Median $14.79 Typical High $28.18 | Professional | None | $11.75 | $14.79 | $28.18 |
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 $11.75 Typical High $12.30 | Professional | 52 · Reduced service | $10.47 | $11.75 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.79 Typical High $5.01 | Professional | 53 · Discontinued | $4.17 | $4.79 | $5.01 |
Where Virginia sits
The same service costs 3.8 times more in Alaska than in Nebraska. 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· 42nd of 51
$21.38
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.