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 $12.30 Median $30.20 Typical High $43.65 | Facility | None | $12.30 | $30.20 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $14.13 Typical High $16.60 | Professional | None | $12.30 | $14.13 | $16.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $79.43 | Facility | None | $16.22 | $16.22 | $79.43 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.94 Median $10.00 Typical High $12.59 | Professional | None | $7.94 | $10.00 | $12.59 |
CareFirst Setting Professional Modifier None Typical Low $11.75 Median $12.88 Typical High $22.91 | Professional | None | $11.75 | $12.88 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $38.90 Typical High $64.57 | Facility | None | $16.60 | $38.90 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $12.59 Typical High $23.44 | Professional | None | $8.91 | $12.59 | $23.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.22 Median $19.50 Typical High $23.99 | Professional | None | $16.22 | $19.50 | $23.99 |
Medcost Setting Professional Modifier None Typical Low $13.49 Median $27.54 Typical High $31.62 | Professional | None | $13.49 | $27.54 | $31.62 |
Medcost Setting Facility Modifier None Typical Low $13.49 Median $14.13 Typical High $33.11 | Facility | None | $13.49 | $14.13 | $33.11 |
Medcost Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $17.38 | Professional | None | $13.80 | $13.80 | $17.38 |
Sentara Setting Facility Modifier None Typical Low $14.45 Median $23.99 Typical High $10,232.93 | Facility | None | $14.45 | $23.99 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $14.45 Median $23.44 Typical High $10,232.93 | Professional | None | $14.45 | $23.44 | $10,232.93 |
United Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $47.86 | Facility | None | $19.50 | $19.50 | $47.86 |
United Setting Professional Modifier None Typical Low $6.76 Median $9.77 Typical High $16.98 | Professional | None | $6.76 | $9.77 | $16.98 |
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 $6.17 Median $7.41 Typical High $7.76 | Professional | 52 · Reduced service | $6.17 | $7.41 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $3.02 Typical High $3.09 | Professional | 53 · Discontinued | $2.45 | $3.02 | $3.09 |
Where Virginia sits
The same service costs 3.6 times more in Alaska than in Maryland. 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
$12.88
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.