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 $38.02 Typical High $102.33 | Facility | None | $33.11 | $38.02 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $38.02 Typical High $38.02 | Professional | None | $33.11 | $38.02 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $218.78 | Facility | None | $44.67 | $44.67 | $218.78 |
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 $17.78 Median $35.48 Typical High $35.48 | Professional | None | $17.78 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $74.13 Typical High $125.89 | Facility | None | $34.67 | $74.13 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $22.91 Typical High $63.10 | Professional | None | $8.71 | $22.91 | $63.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $44.67 Median $53.70 Typical High $66.07 | Professional | None | $44.67 | $53.70 | $66.07 |
Medcost Setting Facility Modifier None Typical Low $21.88 Median $35.48 Typical High $48.98 | Facility | None | $21.88 | $35.48 | $48.98 |
Medcost Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Sentara Setting Facility Modifier None Typical Low $17.78 Median $44.67 Typical High $7,413.10 | Facility | None | $17.78 | $44.67 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $17.78 Median $44.67 Typical High $7,413.10 | Professional | None | $17.78 | $44.67 | $7,413.10 |
United Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
United Setting Professional Modifier None Typical Low $7.41 Median $18.62 Typical High $26.30 | Professional | None | $7.41 | $18.62 | $26.30 |
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 $7.59 Typical High $7.94 | Professional | 53 · Discontinued | $6.61 | $7.59 | $7.94 |
Where Virginia sits
The same service costs 5.4 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· 34th of 51
$30.20
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.