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 $23.44 Median $43.65 Typical High $79.43 | Facility | None | $23.44 | $43.65 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $26.92 Typical High $37.15 | Professional | None | $23.44 | $26.92 | $37.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $151.36 | Facility | None | $30.90 | $30.90 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.14 Median $19.05 Typical High $22.91 | Professional | None | $15.14 | $19.05 | $22.91 |
CareFirst Setting Professional Modifier None Typical Low $22.39 Median $24.55 Typical High $43.65 | Professional | None | $22.39 | $24.55 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $69.18 Typical High $123.03 | Facility | None | $31.62 | $69.18 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $23.99 Typical High $44.67 | Professional | None | $16.98 | $23.99 | $44.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.90 Median $37.15 Typical High $45.71 | Professional | None | $30.90 | $37.15 | $45.71 |
Medcost Setting Professional Modifier None Typical Low $25.70 Median $52.48 Typical High $60.26 | Professional | None | $25.70 | $52.48 | $60.26 |
Medcost Setting Facility Modifier None Typical Low $24.55 Median $26.92 Typical High $63.10 | Facility | None | $24.55 | $26.92 | $63.10 |
Medcost Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $47.86 | Professional | None | $26.30 | $26.30 | $47.86 |
Sentara Setting Facility Modifier None Typical Low $24.55 Median $40.74 Typical High $7,413.10 | Facility | None | $24.55 | $40.74 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $24.55 Median $40.74 Typical High $10,232.93 | Professional | None | $24.55 | $40.74 | $10,232.93 |
United Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $104.71 | Facility | None | $37.15 | $37.15 | $104.71 |
United Setting Professional Modifier None Typical Low $12.88 Median $18.20 Typical High $32.36 | Professional | None | $12.88 | $18.20 | $32.36 |
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 $11.75 Median $14.13 Typical High $14.79 | Professional | 52 · Reduced service | $11.75 | $14.13 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.75 Typical High $5.89 | Professional | 53 · Discontinued | $4.68 | $5.75 | $5.89 |
Where Virginia sits
The same service costs 4.2 times more in Kansas 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· 44th of 51
$24.55
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.