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 $15.14 Median $17.38 Typical High $47.86 | Facility | None | $15.14 | $17.38 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $17.38 Typical High $18.20 | Professional | None | $15.14 | $17.38 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $100.00 | Facility | None | $20.42 | $20.42 | $100.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $11.48 Typical High $14.79 | Professional | None | $8.13 | $11.48 | $14.79 |
CareFirst Setting Professional Modifier None Typical Low $6.31 Median $16.22 Typical High $16.22 | Professional | None | $6.31 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $20.89 Typical High $50.12 | Facility | None | $13.18 | $20.89 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $10.47 Typical High $23.44 | Professional | None | $3.02 | $10.47 | $23.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.42 Median $24.55 Typical High $30.20 | Professional | None | $20.42 | $24.55 | $30.20 |
Medcost Setting Professional Modifier None Typical Low $3.80 Median $7.59 Typical High $8.91 | Professional | None | $3.80 | $7.59 | $8.91 |
Medcost Setting Facility Modifier None Typical Low $4.07 Median $10.23 Typical High $20.42 | Facility | None | $4.07 | $10.23 | $20.42 |
Medcost Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.27 | Professional | None | $4.07 | $4.07 | $4.27 |
Sentara Setting Facility Modifier None Typical Low $7.41 Median $23.99 Typical High $10,232.93 | Facility | None | $7.41 | $23.99 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $7.59 Median $23.99 Typical High $10,232.93 | Professional | None | $7.59 | $23.99 | $10,232.93 |
United Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
United Setting Professional Modifier None Typical Low $2.69 Median $8.51 Typical High $12.30 | Professional | None | $2.69 | $8.51 | $12.30 |
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 $7.59 Median $8.71 Typical High $9.12 | Professional | 52 · Reduced service | $7.59 | $8.71 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.47 Typical High $3.63 | Professional | 53 · Discontinued | $3.09 | $3.47 | $3.63 |
Where Virginia sits
The same service costs 7.6 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· 29th of 51
$14.13
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.