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 $21.38 Typical High $58.88 | Facility | None | $16.98 | $21.38 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $20.89 Typical High $21.38 | Professional | None | $16.98 | $20.89 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $112.20 | Facility | None | $22.91 | $22.91 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $13.80 Typical High $17.38 | Professional | None | $11.22 | $13.80 | $17.38 |
CareFirst Setting Professional Modifier None Typical Low $16.22 Median $18.20 Typical High $31.62 | Professional | None | $16.22 | $18.20 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $53.70 Typical High $89.13 | Facility | None | $22.91 | $53.70 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $17.38 Typical High $30.90 | Professional | None | $12.59 | $17.38 | $30.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.91 Median $26.92 Typical High $33.88 | Professional | None | $22.91 | $26.92 | $33.88 |
Medcost Setting Professional Modifier None Typical Low $18.62 Median $38.02 Typical High $44.67 | Professional | None | $18.62 | $38.02 | $44.67 |
Medcost Setting Facility Modifier None Typical Low $18.62 Median $20.89 Typical High $46.77 | Facility | None | $18.62 | $20.89 | $46.77 |
Medcost Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $38.90 | Professional | None | $19.50 | $19.50 | $38.90 |
Sentara Setting Facility Modifier None Typical Low $19.95 Median $33.11 Typical High $10,232.93 | Facility | None | $19.95 | $33.11 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $19.95 Median $33.11 Typical High $10,232.93 | Professional | None | $19.95 | $33.11 | $10,232.93 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $75.86 | Facility | None | $26.92 | $26.92 | $75.86 |
United Setting Professional Modifier None Typical Low $9.55 Median $13.49 Typical High $23.99 | Professional | None | $9.55 | $13.49 | $23.99 |
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 $8.51 Median $10.47 Typical High $10.72 | Professional | 52 · Reduced service | $8.51 | $10.47 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $4.17 Typical High $4.27 | Professional | 53 · Discontinued | $3.39 | $4.17 | $4.27 |
Where Virginia sits
The same service costs 4.2 times more in Kansas than in Nebraska. 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· 47th of 51
$18.20
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.