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 $15.49 Median $19.50 Typical High $52.48 | Facility | None | $15.49 | $19.50 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $18.62 Typical High $24.55 | Professional | None | $15.49 | $18.62 | $24.55 |
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 $10.00 Median $12.59 Typical High $15.85 | Professional | None | $10.00 | $12.59 | $15.85 |
CareFirst Setting Professional Modifier None Typical Low $14.79 Median $16.22 Typical High $28.84 | Professional | None | $14.79 | $16.22 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $48.98 Typical High $81.28 | Facility | None | $20.89 | $48.98 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $15.85 Typical High $29.51 | Professional | None | $11.22 | $15.85 | $29.51 |
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 $16.98 Median $33.88 Typical High $39.81 | Professional | None | $16.98 | $33.88 | $39.81 |
Medcost Setting Facility Modifier None Typical Low $16.98 Median $18.62 Typical High $41.69 | Facility | None | $16.98 | $18.62 | $41.69 |
Medcost Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $26.92 | Professional | None | $18.20 | $18.20 | $26.92 |
Sentara Setting Facility Modifier None Typical Low $18.20 Median $34.67 Typical High $7,413.10 | Facility | None | $18.20 | $34.67 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $18.20 Median $34.67 Typical High $10,232.93 | Professional | None | $18.20 | $34.67 | $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 $8.51 Median $12.30 Typical High $21.38 | Professional | None | $8.51 | $12.30 | $21.38 |
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 $9.33 Typical High $9.55 | Professional | 52 · Reduced service | $7.59 | $9.33 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.80 Typical High $3.89 | Professional | 53 · Discontinued | $3.09 | $3.80 | $3.89 |
Where Virginia sits
The same service costs 4.7 times more in Kansas than in West Virginia. 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· 44th of 51
$16.22
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.