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 $14.79 Median $16.98 Typical High $46.77 | Facility | None | $14.79 | $16.98 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $16.98 Typical High $18.20 | Professional | None | $14.79 | $16.98 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $97.72 | Facility | None | $19.95 | $19.95 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $11.75 Typical High $14.45 | Professional | None | $8.91 | $11.75 | $14.45 |
CareFirst Setting Professional Modifier None Typical Low $14.13 Median $15.85 Typical High $25.12 | Professional | None | $14.13 | $15.85 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $45.71 Typical High $70.79 | Facility | None | $19.95 | $45.71 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $14.79 Typical High $28.18 | Professional | None | $10.00 | $14.79 | $28.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.95 Median $23.44 Typical High $29.51 | Professional | None | $19.95 | $23.44 | $29.51 |
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 $15.14 Median $16.60 Typical High $37.15 | Facility | None | $15.14 | $16.60 | $37.15 |
Medcost Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $23.99 | Professional | None | $15.49 | $15.49 | $23.99 |
Sentara Setting Facility Modifier None Typical Low $16.22 Median $28.18 Typical High $10,232.93 | Facility | None | $16.22 | $28.18 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $16.22 Median $28.18 Typical High $10,232.93 | Professional | None | $16.22 | $28.18 | $10,232.93 |
United Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
United Setting Professional Modifier None Typical Low $8.32 Median $11.22 Typical High $19.95 | Professional | None | $8.32 | $11.22 | $19.95 |
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 $7.41 Median $8.51 Typical High $8.71 | Professional | 52 · Reduced service | $7.41 | $8.51 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.39 Typical High $3.55 | Professional | 53 · Discontinued | $2.95 | $3.39 | $3.55 |
Where Virginia sits
The same service costs 5.5 times more in Kansas 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· 47th of 51
$15.14
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.