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 $9.55 Median $10.96 Typical High $30.20 | Facility | None | $9.55 | $10.96 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $10.96 Typical High $11.22 | Professional | None | $9.55 | $10.96 | $11.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $63.10 | Facility | None | $12.88 | $12.88 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $7.59 Typical High $9.55 | Professional | None | $5.75 | $7.59 | $9.55 |
CareFirst Setting Professional Modifier None Typical Low $9.12 Median $10.23 Typical High $16.22 | Professional | None | $9.12 | $10.23 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $29.51 Typical High $45.71 | Facility | None | $12.88 | $29.51 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $9.55 Typical High $14.45 | Professional | None | $6.46 | $9.55 | $14.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.88 Median $15.14 Typical High $19.05 | Professional | None | $12.88 | $15.14 | $19.05 |
Medcost Setting Professional Modifier None Typical Low $9.55 Median $19.50 Typical High $22.91 | Professional | None | $9.55 | $19.50 | $22.91 |
Medcost Setting Facility Modifier None Typical Low $9.77 Median $10.96 Typical High $23.99 | Facility | None | $9.77 | $10.96 | $23.99 |
Medcost Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $15.14 | Professional | None | $10.00 | $10.00 | $15.14 |
Sentara Setting Facility Modifier None Typical Low $10.23 Median $18.20 Typical High $10,232.93 | Facility | None | $10.23 | $18.20 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $10.23 Median $18.20 Typical High $10,232.93 | Professional | None | $10.23 | $18.20 | $10,232.93 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $5.37 Median $7.08 Typical High $12.88 | Professional | None | $5.37 | $7.08 | $12.88 |
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 $4.79 Median $5.50 Typical High $5.62 | Professional | 52 · Reduced service | $4.79 | $5.50 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $2.19 Typical High $2.29 | Professional | 53 · Discontinued | $1.91 | $2.19 | $2.29 |
Where Virginia sits
The same service costs 3.2 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· 47th of 51
$9.77
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.