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 $11.22 Median $14.13 Typical High $38.90 | Facility | None | $11.22 | $14.13 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $13.49 Typical High $14.13 | Professional | None | $11.22 | $13.49 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $72.44 | Facility | None | $14.79 | $14.79 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $8.91 Typical High $11.48 | Professional | None | $7.41 | $8.91 | $11.48 |
CareFirst Setting Professional Modifier None Typical Low $10.72 Median $12.02 Typical High $18.20 | Professional | None | $10.72 | $12.02 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $36.31 Typical High $58.88 | Facility | None | $15.14 | $36.31 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $11.48 Typical High $21.38 | Professional | None | $8.32 | $11.48 | $21.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.79 Median $17.78 Typical High $21.88 | Professional | None | $14.79 | $17.78 | $21.88 |
Medcost Setting Professional Modifier None Typical Low $12.30 Median $25.12 Typical High $28.84 | Professional | None | $12.30 | $25.12 | $28.84 |
Medcost Setting Facility Modifier None Typical Low $12.30 Median $13.49 Typical High $30.20 | Facility | None | $12.30 | $13.49 | $30.20 |
Medcost Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $32.36 | Professional | None | $12.88 | $12.88 | $32.36 |
Sentara Setting Facility Modifier None Typical Low $13.18 Median $20.89 Typical High $10,232.93 | Facility | None | $13.18 | $20.89 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $13.18 Median $20.89 Typical High $10,232.93 | Professional | None | $13.18 | $20.89 | $10,232.93 |
United Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
United Setting Professional Modifier None Typical Low $6.31 Median $8.71 Typical High $14.79 | Professional | None | $6.31 | $8.71 | $14.79 |
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 $5.62 Median $6.92 Typical High $7.08 | Professional | 52 · Reduced service | $5.62 | $6.92 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.75 Typical High $2.82 | Professional | 53 · Discontinued | $2.24 | $2.75 | $2.82 |
Where Virginia sits
The same service costs 4.2 times more in Kansas than in New Jersey. 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
$12.02
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.