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 $26.30 Median $50.12 Typical High $91.20 | Facility | None | $26.30 | $50.12 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $32.36 Typical High $35.48 | Professional | None | $26.30 | $32.36 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $173.78 | Facility | None | $35.48 | $35.48 | $173.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $21.38 Typical High $26.92 | Professional | None | $17.38 | $21.38 | $26.92 |
CareFirst Setting Professional Modifier None Typical Low $25.70 Median $28.18 Typical High $48.98 | Professional | None | $25.70 | $28.18 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $72.44 Typical High $138.04 | Facility | None | $36.31 | $72.44 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $26.92 Typical High $47.86 | Professional | None | $19.50 | $26.92 | $47.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $35.48 Median $42.66 Typical High $52.48 | Professional | None | $35.48 | $42.66 | $52.48 |
Medcost Setting Professional Modifier None Typical Low $29.51 Median $58.88 Typical High $69.18 | Professional | None | $29.51 | $58.88 | $69.18 |
Medcost Setting Facility Modifier None Typical Low $29.51 Median $32.36 Typical High $72.44 | Facility | None | $29.51 | $32.36 | $72.44 |
Medcost Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $81.28 | Professional | None | $30.20 | $30.20 | $81.28 |
Sentara Setting Facility Modifier None Typical Low $24.55 Median $50.12 Typical High $10,232.93 | Facility | None | $24.55 | $50.12 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $24.55 Median $50.12 Typical High $10,232.93 | Professional | None | $24.55 | $50.12 | $10,232.93 |
United Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $48.98 | Facility | None | $42.66 | $42.66 | $48.98 |
United Setting Professional Modifier None Typical Low $14.79 Median $21.38 Typical High $37.15 | Professional | None | $14.79 | $21.38 | $37.15 |
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 $13.18 Median $16.22 Typical High $16.60 | Professional | 52 · Reduced service | $13.18 | $16.22 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.46 Typical High $6.61 | Professional | 53 · Discontinued | $5.25 | $6.46 | $6.61 |
Where Virginia sits
The same service costs 4.3 times more in Alaska 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· 39th of 51
$28.18
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.