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 $27.54 Median $51.29 Typical High $95.50 | Facility | None | $27.54 | $51.29 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $32.36 Typical High $37.15 | Professional | None | $27.54 | $32.36 | $37.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $177.83 | Facility | None | $36.31 | $36.31 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $28.18 | Professional | None | $18.20 | $21.88 | $28.18 |
CareFirst Setting Professional Modifier None Typical Low $26.30 Median $29.51 Typical High $51.29 | Professional | None | $26.30 | $29.51 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $87.10 Typical High $144.54 | Facility | None | $37.15 | $87.10 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $28.18 Typical High $52.48 | Professional | None | $20.42 | $28.18 | $52.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $36.31 Median $43.65 Typical High $53.70 | Professional | None | $36.31 | $43.65 | $53.70 |
Medcost Setting Professional Modifier None Typical Low $30.20 Median $61.66 Typical High $70.79 | Professional | None | $30.20 | $61.66 | $70.79 |
Medcost Setting Facility Modifier None Typical Low $30.20 Median $32.36 Typical High $74.13 | Facility | None | $30.20 | $32.36 | $74.13 |
Medcost Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $83.18 | Professional | None | $31.62 | $31.62 | $83.18 |
Sentara Setting Facility Modifier None Typical Low $33.11 Median $61.66 Typical High $7,413.10 | Facility | None | $33.11 | $61.66 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $33.11 Median $61.66 Typical High $10,232.93 | Professional | None | $33.11 | $61.66 | $10,232.93 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
United Setting Professional Modifier None Typical Low $15.49 Median $21.88 Typical High $38.02 | Professional | None | $15.49 | $21.88 | $38.02 |
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 $13.80 Median $16.98 Typical High $17.38 | Professional | 52 · Reduced service | $13.80 | $16.98 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.76 Typical High $6.92 | Professional | 53 · Discontinued | $5.50 | $6.76 | $6.92 |
Where Virginia sits
The same service costs 3.3 times more in Kansas 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· 42nd of 51
$30.20
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.