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 $11.48 Median $13.49 Typical High $37.15 | Facility | None | $11.48 | $13.49 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $13.18 Typical High $14.13 | Professional | None | $11.48 | $13.18 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $75.86 | Facility | None | $15.49 | $15.49 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $9.12 Typical High $11.75 | Professional | None | $7.08 | $9.12 | $11.75 |
CareFirst Setting Professional Modifier None Typical Low $8.32 Median $12.30 Typical High $12.30 | Professional | None | $8.32 | $12.30 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $35.48 Typical High $56.23 | Facility | None | $15.85 | $35.48 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $11.75 Typical High $21.88 | Professional | None | $7.94 | $11.75 | $21.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.49 Median $18.62 Typical High $22.91 | Professional | None | $15.49 | $18.62 | $22.91 |
Medcost Setting Professional Modifier None Typical Low $11.75 Median $23.99 Typical High $28.18 | Professional | None | $11.75 | $23.99 | $28.18 |
Medcost Setting Facility Modifier None Typical Low $12.02 Median $13.18 Typical High $29.51 | Facility | None | $12.02 | $13.18 | $29.51 |
Medcost Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.59 | Professional | None | $12.30 | $12.30 | $12.59 |
Sentara Setting Facility Modifier None Typical Low $11.22 Median $20.89 Typical High $10,232.93 | Facility | None | $11.22 | $20.89 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $11.22 Median $20.89 Typical High $10,232.93 | Professional | None | $11.22 | $20.89 | $10,232.93 |
United Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
United Setting Professional Modifier None Typical Low $3.63 Median $8.13 Typical High $11.75 | Professional | None | $3.63 | $8.13 | $11.75 |
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 $5.75 Median $6.76 Typical High $6.92 | Professional | 52 · Reduced service | $5.75 | $6.76 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.69 Typical High $2.75 | Professional | 53 · Discontinued | $2.29 | $2.69 | $2.75 |
Where Virginia sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 48th of 51
$11.75
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.