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 $25.70 Median $47.86 Typical High $87.10 | Facility | None | $25.70 | $47.86 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $30.90 Typical High $32.36 | Professional | None | $25.70 | $30.90 | $32.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $165.96 | Facility | None | $33.88 | $33.88 | $165.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.60 Median $20.89 Typical High $26.30 | Professional | None | $16.60 | $20.89 | $26.30 |
CareFirst Setting Professional Modifier None Typical Low $24.55 Median $26.92 Typical High $47.86 | Professional | None | $24.55 | $26.92 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $81.28 Typical High $134.90 | Facility | None | $34.67 | $81.28 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $26.30 Typical High $48.98 | Professional | None | $18.62 | $26.30 | $48.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $40.74 Typical High $50.12 | Professional | None | $33.88 | $40.74 | $50.12 |
Medcost Setting Professional Modifier None Typical Low $28.18 Median $57.54 Typical High $66.07 | Professional | None | $28.18 | $57.54 | $66.07 |
Medcost Setting Facility Modifier None Typical Low $28.18 Median $29.51 Typical High $69.18 | Facility | None | $28.18 | $29.51 | $69.18 |
Medcost Setting Professional Modifier None Typical Low $12.30 Median $28.84 Typical High $28.84 | Professional | None | $12.30 | $28.84 | $28.84 |
Sentara Setting Facility Modifier None Typical Low $30.20 Median $47.86 Typical High $10,232.93 | Facility | None | $30.20 | $47.86 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $10,232.93 | Professional | None | $30.20 | $47.86 | $10,232.93 |
United Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
United Setting Professional Modifier None Typical Low $14.13 Median $20.42 Typical High $35.48 | Professional | None | $14.13 | $20.42 | $35.48 |
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 $12.59 Median $15.49 Typical High $15.85 | Professional | 52 · Reduced service | $12.59 | $15.49 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $6.31 Typical High $6.46 | Professional | 53 · Discontinued | $5.13 | $6.31 | $6.46 |
Where Virginia sits
The same service costs 4.4 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· 46th of 51
$26.92
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.