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 $13.18 Median $15.14 Typical High $41.69 | Facility | None | $13.18 | $15.14 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $15.14 Typical High $40.74 | Professional | None | $13.18 | $15.14 | $40.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $87.10 | Facility | None | $17.78 | $17.78 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $10.47 Typical High $13.49 | Professional | None | $7.41 | $10.47 | $13.49 |
CareFirst Setting Professional Modifier None Typical Low $12.88 Median $14.13 Typical High $20.89 | Professional | None | $12.88 | $14.13 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $35.48 Typical High $60.26 | Facility | None | $18.20 | $35.48 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $12.30 Typical High $20.42 | Professional | None | $8.71 | $12.30 | $20.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.78 Median $21.38 Typical High $26.30 | Professional | None | $17.78 | $21.38 | $26.30 |
Medcost Setting Professional Modifier None Typical Low $9.55 Median $25.12 Typical High $29.51 | Professional | None | $9.55 | $25.12 | $29.51 |
Medcost Setting Facility Modifier None Typical Low $12.59 Median $15.14 Typical High $30.90 | Facility | None | $12.59 | $15.14 | $30.90 |
Medcost Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $23.99 | Professional | None | $12.88 | $12.88 | $23.99 |
Sentara Setting Facility Modifier None Typical Low $14.13 Median $23.44 Typical High $10,232.93 | Facility | None | $14.13 | $23.44 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $14.13 Median $23.44 Typical High $10,232.93 | Professional | None | $14.13 | $23.44 | $10,232.93 |
United Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
United Setting Professional Modifier None Typical Low $7.41 Median $9.33 Typical High $17.78 | Professional | None | $7.41 | $9.33 | $17.78 |
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 $6.61 Median $7.59 Typical High $7.94 | Professional | 52 · Reduced service | $6.61 | $7.59 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $3.02 Typical High $3.16 | Professional | 53 · Discontinued | $2.69 | $3.02 | $3.16 |
Where Virginia sits
The same service costs 3.8 times more in Kansas than in Texas. 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· 39th of 51
$14.13
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.