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 $25.70 Median $29.51 Typical High $81.28 | Facility | None | $25.70 | $29.51 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $28.84 Typical High $29.51 | Professional | None | $25.70 | $28.84 | $29.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $165.96 | Facility | None | $33.88 | $33.88 | $165.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $19.95 Typical High $25.12 | Professional | None | $14.13 | $19.95 | $25.12 |
CareFirst Setting Professional Modifier None Typical Low $24.55 Median $27.54 Typical High $34.67 | Professional | None | $24.55 | $27.54 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $57.54 Typical High $87.10 | Facility | None | $34.67 | $57.54 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $20.89 Typical High $48.98 | Professional | None | $16.22 | $20.89 | $48.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $40.74 Typical High $50.12 | Professional | None | $33.88 | $40.74 | $50.12 |
Medcost Setting Facility Modifier None Typical Low $17.38 Median $29.51 Typical High $46.77 | Facility | None | $17.38 | $29.51 | $46.77 |
Medcost Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Sentara Setting Facility Modifier None Typical Low $24.55 Median $37.15 Typical High $77.62 | Facility | None | $24.55 | $37.15 | $77.62 |
Sentara Setting Professional Modifier None Typical Low $24.55 Median $37.15 Typical High $77.62 | Professional | None | $24.55 | $37.15 | $77.62 |
United Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
United Setting Professional Modifier None Typical Low $14.45 Median $18.20 Typical High $33.88 | Professional | None | $14.45 | $18.20 | $33.88 |
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 $12.88 Median $14.79 Typical High $15.14 | Professional | 52 · Reduced service | $12.88 | $14.79 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $5.13 | $6.03 | $6.03 |
Where Virginia sits
The same service costs 4.2 times more in Alaska than in Oklahoma. 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
$26.30
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.