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 $31.62 Median $54.95 Typical High $97.72 | Facility | None | $31.62 | $54.95 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $33.88 Typical High $38.02 | Professional | None | $30.90 | $33.88 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $204.17 | Facility | None | $41.69 | $41.69 | $204.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.60 Median $23.44 Typical High $30.90 | Professional | None | $16.60 | $23.44 | $30.90 |
CareFirst Setting Professional Modifier None Typical Low $30.20 Median $33.11 Typical High $34.67 | Professional | None | $30.20 | $33.11 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $81.28 Typical High $107.15 | Facility | None | $42.66 | $81.28 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $25.12 Typical High $47.86 | Professional | None | $16.98 | $25.12 | $47.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $61.66 | Professional | None | $41.69 | $50.12 | $61.66 |
Medcost Setting Professional Modifier None Typical Low $20.89 Median $41.69 Typical High $48.98 | Professional | None | $20.89 | $41.69 | $48.98 |
Medcost Setting Facility Modifier None Typical Low $20.89 Median $33.11 Typical High $51.29 | Facility | None | $20.89 | $33.11 | $51.29 |
Medcost Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $32.36 | Professional | None | $21.38 | $21.38 | $32.36 |
Sentara Setting Facility Modifier None Typical Low $29.51 Median $51.29 Typical High $10,232.93 | Facility | None | $29.51 | $51.29 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $29.51 Median $52.48 Typical High $10,232.93 | Professional | None | $29.51 | $52.48 | $10,232.93 |
United Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier None Typical Low $14.79 Median $19.05 Typical High $34.67 | Professional | None | $14.79 | $19.05 | $34.67 |
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 $15.85 Median $17.78 Typical High $18.62 | Professional | 52 · Reduced service | $15.85 | $17.78 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.08 Typical High $7.41 | Professional | 53 · Discontinued | $6.31 | $7.08 | $7.41 |
Where Virginia sits
The same service costs 3.9 times more in Alaska than in South Carolina. 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
$31.62
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.