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 $38.90 Typical High $57.54 | Facility | None | $15.85 | $38.90 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $19.95 Typical High $57.54 | Professional | None | $15.85 | $19.95 | $57.54 |
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 $10.47 Median $12.88 Typical High $16.22 | Professional | None | $10.47 | $12.88 | $16.22 |
CareFirst Setting Professional Modifier None Typical Low $15.49 Median $16.98 Typical High $24.55 | Professional | None | $15.49 | $16.98 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $51.29 Typical High $83.18 | Facility | None | $21.88 | $51.29 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $16.22 Typical High $30.20 | Professional | None | $11.75 | $16.22 | $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 $16.22 Median $35.48 Typical High $41.69 | Professional | None | $16.22 | $35.48 | $41.69 |
Medcost Setting Facility Modifier None Typical Low $17.78 Median $19.50 Typical High $43.65 | Facility | None | $17.78 | $19.50 | $43.65 |
Medcost Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $28.18 | Professional | None | $18.20 | $18.20 | $28.18 |
Sentara Setting Facility Modifier None Typical Low $19.05 Median $34.67 Typical High $7,413.10 | Facility | None | $19.05 | $34.67 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $19.05 Median $35.48 Typical High $10,232.93 | Professional | None | $19.05 | $35.48 | $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 $12.59 Typical High $21.38 | Professional | None | $8.91 | $12.59 | $21.38 |
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 $9.77 Typical High $10.00 | Professional | 52 · Reduced service | $7.94 | $9.77 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.89 Typical High $3.98 | Professional | 53 · Discontinued | $3.16 | $3.89 | $3.98 |
Where Virginia sits
The same service costs 4.1 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· 40th of 51
$18.20
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.