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 $9.77 Median $11.22 Typical High $30.90 | Facility | None | $9.77 | $11.22 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $11.22 Typical High $11.75 | Professional | None | $9.77 | $11.22 | $11.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $64.57 | Facility | None | $13.18 | $13.18 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.25 Median $7.76 Typical High $9.55 | Professional | None | $5.25 | $7.76 | $9.55 |
CareFirst Setting Professional Modifier None Typical Low $9.55 Median $10.47 Typical High $10.72 | Professional | None | $9.55 | $10.47 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $25.70 Typical High $33.11 | Facility | None | $13.49 | $25.70 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $6.46 Typical High $13.18 | Professional | None | $5.01 | $6.46 | $13.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.18 Median $15.85 Typical High $19.50 | Professional | None | $13.18 | $15.85 | $19.50 |
Medcost Setting Professional Modifier None Typical Low $6.46 Median $12.88 Typical High $15.14 | Professional | None | $6.46 | $12.88 | $15.14 |
Medcost Setting Facility Modifier None Typical Low $6.61 Median $10.47 Typical High $15.49 | Facility | None | $6.61 | $10.47 | $15.49 |
Medcost Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $16.22 | Professional | None | $6.61 | $6.61 | $16.22 |
Sentara Setting Facility Modifier None Typical Low $9.55 Median $15.49 Typical High $10,232.93 | Facility | None | $9.55 | $15.49 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $9.55 Median $15.49 Typical High $10,232.93 | Professional | None | $9.55 | $15.49 | $10,232.93 |
United Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $23.99 | Facility | None | $15.85 | $15.85 | $23.99 |
United Setting Professional Modifier None Typical Low $4.57 Median $6.31 Typical High $10.47 | Professional | None | $4.57 | $6.31 | $10.47 |
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 $4.90 Median $5.62 Typical High $5.89 | Professional | 52 · Reduced service | $4.90 | $5.62 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.24 Typical High $2.34 | Professional | 53 · Discontinued | $1.95 | $2.24 | $2.34 |
Where Virginia sits
The same service costs 4.7 times more in Alaska than in Kentucky. 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
$9.77
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.