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 $15.85 Median $19.95 Typical High $54.95 | Facility | None | $15.85 | $19.95 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $19.95 Typical High $56.23 | Professional | None | $15.85 | $19.95 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $102.33 | Facility | None | $20.89 | $20.89 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.47 Median $12.88 Typical High $16.22 | Professional | None | $10.47 | $12.88 | $16.22 |
CareFirst Setting Professional Modifier None Typical Low $15.14 Median $16.98 Typical High $29.51 | Professional | None | $15.14 | $16.98 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $50.12 Typical High $83.18 | Facility | None | $21.38 | $50.12 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $16.22 Typical High $26.30 | Professional | None | $11.75 | $16.22 | $26.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.89 Median $25.12 Typical High $30.90 | Professional | None | $20.89 | $25.12 | $30.90 |
Medcost Setting Professional Modifier None Typical Low $17.38 Median $35.48 Typical High $40.74 | Professional | None | $17.38 | $35.48 | $40.74 |
Medcost Setting Facility Modifier None Typical Low $16.98 Median $19.05 Typical High $42.66 | Facility | None | $16.98 | $19.05 | $42.66 |
Medcost Setting Professional Modifier None Typical Low $16.22 Median $18.20 Typical High $18.20 | Professional | None | $16.22 | $18.20 | $18.20 |
Sentara Setting Facility Modifier None Typical Low $19.05 Median $35.48 Typical High $7,413.10 | Facility | None | $19.05 | $35.48 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $19.05 Median $35.48 Typical High $10,232.93 | Professional | None | $19.05 | $35.48 | $10,232.93 |
United Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $60.26 | Facility | None | $25.12 | $25.12 | $60.26 |
United Setting Professional Modifier None Typical Low $8.91 Median $12.59 Typical High $21.88 | Professional | None | $8.91 | $12.59 | $21.88 |
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 $7.94 Median $9.77 Typical High $10.00 | Professional | 52 · Reduced service | $7.94 | $9.77 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.89 Typical High $3.98 | Professional | 53 · Discontinued | $3.16 | $3.89 | $3.98 |
Where Virginia sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 40th of 51
$17.38
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.