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 $21.38 Median $25.12 Typical High $67.61 | Facility | None | $21.38 | $25.12 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $25.12 | Professional | None | $21.38 | $25.12 | $25.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $141.25 | Facility | None | $28.18 | $28.18 | $141.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $16.98 Typical High $21.88 | Professional | None | $12.88 | $16.98 | $21.88 |
CareFirst Setting Professional Modifier None Typical Low $20.42 Median $22.91 Typical High $37.15 | Professional | None | $20.42 | $22.91 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $64.57 Typical High $102.33 | Facility | None | $28.84 | $64.57 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $21.38 Typical High $40.74 | Professional | None | $14.45 | $21.38 | $40.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.18 Median $33.88 Typical High $42.66 | Professional | None | $28.18 | $33.88 | $42.66 |
Medcost Setting Professional Modifier None Typical Low $7.08 Median $43.65 Typical High $51.29 | Professional | None | $7.08 | $43.65 | $51.29 |
Medcost Setting Facility Modifier None Typical Low $21.88 Median $25.12 Typical High $53.70 | Facility | None | $21.88 | $25.12 | $53.70 |
Medcost Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $60.26 | Professional | None | $22.39 | $22.39 | $60.26 |
Sentara Setting Facility Modifier None Typical Low $23.44 Median $40.74 Typical High $10,232.93 | Facility | None | $23.44 | $40.74 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $23.44 Median $40.74 Typical High $10,232.93 | Professional | None | $23.44 | $40.74 | $10,232.93 |
United Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $75.86 | Facility | None | $33.88 | $33.88 | $75.86 |
United Setting Professional Modifier None Typical Low $12.02 Median $16.22 Typical High $28.18 | Professional | None | $12.02 | $16.22 | $28.18 |
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 $10.72 Median $12.30 Typical High $12.59 | Professional | 52 · Reduced service | $10.72 | $12.30 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $5.01 Typical High $5.13 | Professional | 53 · Discontinued | $4.27 | $5.01 | $5.13 |
Where Virginia sits
The same service costs 4.8 times more in Kansas than in Texas. 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· 43rd of 51
$21.88
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.