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 $11.75 Median $32.36 Typical High $39.81 | Facility | None | $11.75 | $32.36 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $13.49 Typical High $15.85 | Professional | None | $11.75 | $13.49 | $15.85 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $75.86 | Facility | None | $15.49 | $15.49 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.59 Median $9.33 Typical High $12.02 | Professional | None | $7.59 | $9.33 | $12.02 |
CareFirst Setting Professional Modifier None Typical Low $11.22 Median $12.30 Typical High $21.88 | Professional | None | $11.22 | $12.30 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $37.15 Typical High $61.66 | Facility | None | $15.85 | $37.15 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $12.02 Typical High $22.39 | Professional | None | $8.51 | $12.02 | $22.39 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.49 Median $18.62 Typical High $22.91 | Professional | None | $15.49 | $18.62 | $22.91 |
Medcost Setting Professional Modifier None Typical Low $12.88 Median $25.70 Typical High $30.20 | Professional | None | $12.88 | $25.70 | $30.20 |
Medcost Setting Facility Modifier None Typical Low $12.30 Median $13.49 Typical High $31.62 | Facility | None | $12.30 | $13.49 | $31.62 |
Medcost Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.80 | Professional | None | $13.18 | $13.18 | $13.80 |
Sentara Setting Facility Modifier None Typical Low $12.30 Median $22.91 Typical High $7,413.10 | Facility | None | $12.30 | $22.91 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $12.30 Median $22.91 Typical High $10,232.93 | Professional | None | $12.30 | $22.91 | $10,232.93 |
United Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
United Setting Professional Modifier None Typical Low $6.46 Median $9.33 Typical High $16.22 | Professional | None | $6.46 | $9.33 | $16.22 |
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 $5.75 Median $7.08 Typical High $7.24 | Professional | 52 · Reduced service | $5.75 | $7.08 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.82 Typical High $2.95 | Professional | 53 · Discontinued | $2.34 | $2.82 | $2.95 |
Where Virginia sits
The same service costs 6.8 times more in Kansas than in Kentucky. 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· 46th of 51
$12.30
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.