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 $8.91 Median $21.38 Typical High $25.70 | Facility | None | $8.91 | $21.38 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $8.91 Typical High $25.70 | Professional | None | $7.94 | $8.91 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $51.29 | Facility | None | $10.47 | $10.47 | $51.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.13 Median $6.31 Typical High $8.13 | Professional | None | $5.13 | $6.31 | $8.13 |
CareFirst Setting Professional Modifier None Typical Low $7.59 Median $8.32 Typical High $13.18 | Professional | None | $7.59 | $8.32 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $24.55 Typical High $38.02 | Facility | None | $10.72 | $24.55 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $7.76 Typical High $15.14 | Professional | None | $5.25 | $7.76 | $15.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.47 Median $12.59 Typical High $15.49 | Professional | None | $10.47 | $12.59 | $15.49 |
Medcost Setting Professional Modifier None Typical Low $7.08 Median $15.85 Typical High $18.62 | Professional | None | $7.08 | $15.85 | $18.62 |
Medcost Setting Facility Modifier None Typical Low $7.94 Median $8.91 Typical High $19.50 | Facility | None | $7.94 | $8.91 | $19.50 |
Medcost Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $12.02 | Professional | None | $8.13 | $8.13 | $12.02 |
Sentara Setting Facility Modifier None Typical Low $9.33 Median $14.79 Typical High $7,413.10 | Facility | None | $9.33 | $14.79 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $9.12 Median $14.79 Typical High $7,413.10 | Professional | None | $9.12 | $14.79 | $7,413.10 |
United Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
United Setting Professional Modifier None Typical Low $4.37 Median $5.89 Typical High $10.47 | Professional | None | $4.37 | $5.89 | $10.47 |
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 $3.98 Median $4.47 Typical High $4.68 | Professional | 52 · Reduced service | $3.98 | $4.47 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.82 Typical High $1.86 | Professional | 53 · Discontinued | $1.58 | $1.82 | $1.86 |
Where Virginia sits
The same service costs 5.6 times more in Minnesota than in New Jersey. 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· 38th of 51
$8.91
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.