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 $12.88 Median $18.20 Typical High $39.81 | Facility | None | $12.88 | $18.20 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $14.79 Typical High $20.89 | Professional | None | $12.59 | $14.79 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $85.11 | Facility | None | $17.38 | $17.38 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.92 Median $10.47 Typical High $12.59 | Professional | None | $6.92 | $10.47 | $12.59 |
CareFirst Setting Professional Modifier None Typical Low $12.30 Median $13.80 Typical High $17.38 | Professional | None | $12.30 | $13.80 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $28.84 Typical High $42.66 | Facility | None | $17.78 | $28.84 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $17.38 Typical High $24.55 | Professional | None | $8.71 | $17.38 | $24.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.38 Median $20.89 Typical High $25.70 | Professional | None | $17.38 | $20.89 | $25.70 |
Medcost Setting Facility Modifier None Typical Low $8.91 Median $13.80 Typical High $22.39 | Facility | None | $8.91 | $13.80 | $22.39 |
Medcost Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Sentara Setting Facility Modifier None Typical Low $12.30 Median $19.05 Typical High $7,413.10 | Facility | None | $12.30 | $19.05 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $12.30 Median $19.05 Typical High $7,413.10 | Professional | None | $12.30 | $19.05 | $7,413.10 |
United Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
United Setting Professional Modifier None Typical Low $7.24 Median $9.12 Typical High $17.38 | Professional | None | $7.24 | $9.12 | $17.38 |
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 $6.46 Median $7.41 Typical High $7.76 | Professional | 52 · Reduced service | $6.46 | $7.41 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.95 Typical High $3.09 | Professional | 53 · Discontinued | $2.57 | $2.95 | $3.09 |
Where Virginia sits
The same service costs 4.0 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
$13.49
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.