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 $19.05 Median $22.39 Typical High $60.26 | Facility | None | $19.05 | $22.39 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $21.38 Typical High $22.39 | Professional | None | $19.05 | $21.38 | $22.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $123.03 | Facility | None | $25.12 | $25.12 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.75 Median $14.79 Typical High $19.50 | Professional | None | $11.75 | $14.79 | $19.50 |
CareFirst Setting Professional Modifier None Typical Low $18.20 Median $19.95 Typical High $21.88 | Professional | None | $18.20 | $19.95 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $58.88 Typical High $93.33 | Facility | None | $25.70 | $58.88 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $19.05 Typical High $36.31 | Professional | None | $12.88 | $19.05 | $36.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.12 Median $30.20 Typical High $37.15 | Professional | None | $25.12 | $30.20 | $37.15 |
Medcost Setting Professional Modifier None Typical Low $19.50 Median $39.81 Typical High $45.71 | Professional | None | $19.50 | $39.81 | $45.71 |
Medcost Setting Facility Modifier None Typical Low $19.95 Median $21.38 Typical High $47.86 | Facility | None | $19.95 | $21.38 | $47.86 |
Medcost Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $26.92 | Professional | None | $20.42 | $20.42 | $26.92 |
Sentara Setting Facility Modifier None Typical Low $20.89 Median $36.31 Typical High $10,232.93 | Facility | None | $20.89 | $36.31 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $20.89 Median $36.31 Typical High $10,232.93 | Professional | None | $20.89 | $36.31 | $10,232.93 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $83.18 | Facility | None | $30.20 | $30.20 | $83.18 |
United Setting Professional Modifier None Typical Low $9.33 Median $13.80 Typical High $25.12 | Professional | None | $9.33 | $13.80 | $25.12 |
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 $9.55 Median $11.22 Typical High $11.22 | Professional | 52 · Reduced service | $9.55 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.47 Typical High $4.47 | Professional | 53 · Discontinued | $3.80 | $4.47 | $4.47 |
Where Virginia sits
The same service costs 3.5 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
$19.95
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.