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 $16.60 Median $20.89 Typical High $57.54 | Facility | None | $16.60 | $20.89 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $20.42 Typical High $20.89 | Professional | None | $16.60 | $20.42 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $107.15 | Facility | None | $21.88 | $21.88 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $13.18 Typical High $16.98 | Professional | None | $10.96 | $13.18 | $16.98 |
CareFirst Setting Professional Modifier None Typical Low $15.85 Median $17.78 Typical High $30.90 | Professional | None | $15.85 | $17.78 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $52.48 Typical High $87.10 | Facility | None | $22.39 | $52.48 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $16.98 Typical High $31.62 | Professional | None | $12.02 | $16.98 | $31.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.88 Median $26.30 Typical High $32.36 | Professional | None | $21.88 | $26.30 | $32.36 |
Medcost Setting Professional Modifier None Typical Low $18.20 Median $37.15 Typical High $42.66 | Professional | None | $18.20 | $37.15 | $42.66 |
Medcost Setting Facility Modifier None Typical Low $18.20 Median $20.89 Typical High $44.67 | Facility | None | $18.20 | $20.89 | $44.67 |
Medcost Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $39.81 | Professional | None | $19.05 | $19.05 | $39.81 |
Sentara Setting Facility Modifier None Typical Low $15.49 Median $30.90 Typical High $10,232.93 | Facility | None | $15.49 | $30.90 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $15.49 Median $30.90 Typical High $10,232.93 | Professional | None | $15.49 | $30.90 | $10,232.93 |
United Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $75.86 | Facility | None | $26.30 | $26.30 | $75.86 |
United Setting Professional Modifier None Typical Low $9.33 Median $13.18 Typical High $22.91 | Professional | None | $9.33 | $13.18 | $22.91 |
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 $10.00 Typical High $10.47 | Professional | 52 · Reduced service | $8.32 | $10.00 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $4.07 Typical High $4.17 | Professional | 53 · Discontinued | $3.31 | $4.07 | $4.17 |
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
$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.