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 $12.30 Median $13.80 Typical High $38.02 | Facility | None | $12.30 | $13.80 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $13.80 Typical High $14.45 | Professional | None | $12.30 | $13.80 | $14.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $79.43 | Facility | None | $16.22 | $16.22 | $79.43 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $9.33 Typical High $12.02 | Professional | None | $6.46 | $9.33 | $12.02 |
CareFirst Setting Professional Modifier None Typical Low $2.82 Median $13.18 Typical High $13.18 | Professional | None | $2.82 | $13.18 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $16.60 Typical High $39.81 | Facility | None | $10.47 | $16.60 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $8.32 Typical High $18.62 | Professional | None | $2.51 | $8.32 | $18.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.22 Median $19.50 Typical High $23.99 | Professional | None | $16.22 | $19.50 | $23.99 |
Medcost Setting Professional Modifier None Typical Low $3.02 Median $6.03 Typical High $7.08 | Professional | None | $3.02 | $6.03 | $7.08 |
Medcost Setting Facility Modifier None Typical Low $3.02 Median $7.59 Typical High $16.22 | Facility | None | $3.02 | $7.59 | $16.22 |
Medcost Setting Professional Modifier None Typical Low $2.40 Median $3.24 Typical High $3.24 | Professional | None | $2.40 | $3.24 | $3.24 |
Sentara Setting Facility Modifier None Typical Low $3.89 Median $19.50 Typical High $10,232.93 | Facility | None | $3.89 | $19.50 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $4.17 Median $20.42 Typical High $10,232.93 | Professional | None | $4.17 | $20.42 | $10,232.93 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $19.50 | Facility | None | $15.14 | $15.14 | $19.50 |
United Setting Professional Modifier None Typical Low $1.26 Median $6.92 Typical High $9.77 | Professional | None | $1.26 | $6.92 | $9.77 |
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 $6.17 Median $6.92 Typical High $7.24 | Professional | 52 · Reduced service | $6.17 | $6.92 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.75 Typical High $2.88 | Professional | 53 · Discontinued | $2.45 | $2.75 | $2.88 |
Where Virginia sits
The same service costs 8.9 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· 25th of 51
$11.22
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.