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 $15.85 Median $18.20 Typical High $48.98 | Facility | None | $15.85 | $18.20 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $18.20 Typical High $19.05 | Professional | None | $15.85 | $18.20 | $19.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $104.71 | Facility | None | $21.38 | $21.38 | $104.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $12.88 Typical High $15.49 | Professional | None | $9.33 | $12.88 | $15.49 |
CareFirst Setting Professional Modifier None Typical Low $15.14 Median $16.98 Typical High $26.92 | Professional | None | $15.14 | $16.98 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $48.98 Typical High $75.86 | Facility | None | $21.88 | $48.98 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $15.85 Typical High $30.20 | Professional | None | $10.72 | $15.85 | $30.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.38 Median $25.70 Typical High $31.62 | Professional | None | $21.38 | $25.70 | $31.62 |
Medcost Setting Professional Modifier None Typical Low $15.85 Median $32.36 Typical High $37.15 | Professional | None | $15.85 | $32.36 | $37.15 |
Medcost Setting Facility Modifier None Typical Low $11.22 Median $18.20 Typical High $38.90 | Facility | None | $11.22 | $18.20 | $38.90 |
Medcost Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $32.36 | Professional | None | $16.60 | $16.60 | $32.36 |
Sentara Setting Facility Modifier None Typical Low $15.14 Median $28.18 Typical High $10,232.93 | Facility | None | $15.14 | $28.18 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $15.14 Median $28.18 Typical High $10,232.93 | Professional | None | $15.14 | $28.18 | $10,232.93 |
United Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
United Setting Professional Modifier None Typical Low $8.91 Median $11.22 Typical High $19.95 | Professional | None | $8.91 | $11.22 | $19.95 |
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 $7.94 Median $9.12 Typical High $9.55 | Professional | 52 · Reduced service | $7.94 | $9.12 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.63 Typical High $3.80 | Professional | 53 · Discontinued | $3.16 | $3.63 | $3.80 |
Where Virginia sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 48th of 51
$15.85
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.