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 $19.95 Median $23.44 Typical High $63.10 | Facility | None | $19.95 | $23.44 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $22.91 Typical High $24.55 | Professional | None | $19.95 | $22.91 | $24.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $131.83 | Facility | None | $26.92 | $26.92 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.02 Median $15.85 Typical High $20.42 | Professional | None | $12.02 | $15.85 | $20.42 |
CareFirst Setting Professional Modifier None Typical Low $19.05 Median $21.38 Typical High $29.51 | Professional | None | $19.05 | $21.38 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $60.26 Typical High $97.72 | Facility | None | $26.92 | $60.26 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $19.95 Typical High $37.15 | Professional | None | $13.49 | $19.95 | $37.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.92 Median $31.62 Typical High $39.81 | Professional | None | $26.92 | $31.62 | $39.81 |
Medcost Setting Professional Modifier None Typical Low $17.78 Median $41.69 Typical High $47.86 | Professional | None | $17.78 | $41.69 | $47.86 |
Medcost Setting Facility Modifier None Typical Low $20.42 Median $22.39 Typical High $50.12 | Facility | None | $20.42 | $22.39 | $50.12 |
Medcost Setting Professional Modifier None Typical Low $16.98 Median $20.89 Typical High $20.89 | Professional | None | $16.98 | $20.89 | $20.89 |
Sentara Setting Facility Modifier None Typical Low $21.88 Median $38.02 Typical High $10,232.93 | Facility | None | $21.88 | $38.02 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $21.88 Median $38.02 Typical High $10,232.93 | Professional | None | $21.88 | $38.02 | $10,232.93 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $75.86 | Facility | None | $31.62 | $31.62 | $75.86 |
United Setting Professional Modifier None Typical Low $11.22 Median $15.14 Typical High $26.92 | Professional | None | $11.22 | $15.14 | $26.92 |
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 $10.00 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $10.00 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $4.68 Typical High $4.79 | Professional | 53 · Discontinued | $3.98 | $4.68 | $4.79 |
Where Virginia sits
The same service costs 3.7 times more in Alaska than in Alabama. 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· 46th of 51
$20.42
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.