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 $16.98 Median $42.66 Typical High $52.48 | Facility | None | $16.98 | $42.66 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $19.05 Typical High $20.42 | Professional | None | $16.98 | $19.05 | $20.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $109.65 | Facility | None | $22.39 | $22.39 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.55 Median $13.18 Typical High $17.38 | Professional | None | $9.55 | $13.18 | $17.38 |
CareFirst Setting Professional Modifier None Typical Low $16.22 Median $17.78 Typical High $26.92 | Professional | None | $16.22 | $17.78 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $45.71 Typical High $75.86 | Facility | None | $22.91 | $45.71 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $15.85 Typical High $30.90 | Professional | None | $11.22 | $15.85 | $30.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.39 Median $26.92 Typical High $33.11 | Professional | None | $22.39 | $26.92 | $33.11 |
Medcost Setting Professional Modifier None Typical Low $16.22 Median $32.36 Typical High $38.02 | Professional | None | $16.22 | $32.36 | $38.02 |
Medcost Setting Facility Modifier None Typical Low $16.22 Median $17.78 Typical High $39.81 | Facility | None | $16.22 | $17.78 | $39.81 |
Medcost Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $19.95 | Professional | None | $16.60 | $16.60 | $19.95 |
Sentara Setting Facility Modifier None Typical Low $17.78 Median $31.62 Typical High $10,232.93 | Facility | None | $17.78 | $31.62 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $17.78 Median $31.62 Typical High $10,232.93 | Professional | None | $17.78 | $31.62 | $10,232.93 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $26.92 | Facility | None | $22.39 | $22.39 | $26.92 |
United Setting Professional Modifier None Typical Low $9.33 Median $12.02 Typical High $22.39 | Professional | None | $9.33 | $12.02 | $22.39 |
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 $8.32 Median $9.55 Typical High $10.00 | Professional | 52 · Reduced service | $8.32 | $9.55 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.80 Typical High $3.98 | Professional | 53 · Discontinued | $3.39 | $3.80 | $3.98 |
Where Virginia sits
The same service costs 3.2 times more in Alaska than in New York. 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· 42nd of 51
$17.78
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.