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 $17.38 Median $41.69 Typical High $61.66 | Facility | None | $17.38 | $41.69 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $20.89 Typical High $23.44 | Professional | None | $17.38 | $20.89 | $23.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $112.20 | Facility | None | $22.91 | $22.91 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $14.13 Typical High $17.78 | Professional | None | $11.22 | $14.13 | $17.78 |
CareFirst Setting Professional Modifier None Typical Low $16.60 Median $18.20 Typical High $32.36 | Professional | None | $16.60 | $18.20 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $54.95 Typical High $89.13 | Facility | None | $23.44 | $54.95 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $17.78 Typical High $33.11 | Professional | None | $12.59 | $17.78 | $33.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.91 Median $27.54 Typical High $33.88 | Professional | None | $22.91 | $27.54 | $33.88 |
Medcost Setting Professional Modifier None Typical Low $19.05 Median $38.90 Typical High $44.67 | Professional | None | $19.05 | $38.90 | $44.67 |
Medcost Setting Facility Modifier None Typical Low $19.05 Median $20.89 Typical High $46.77 | Facility | None | $19.05 | $20.89 | $46.77 |
Medcost Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $28.18 | Professional | None | $20.42 | $20.42 | $28.18 |
Sentara Setting Facility Modifier None Typical Low $20.42 Median $33.88 Typical High $10,232.93 | Facility | None | $20.42 | $33.88 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $20.42 Median $33.11 Typical High $10,232.93 | Professional | None | $20.42 | $33.11 | $10,232.93 |
United Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
United Setting Professional Modifier None Typical Low $9.55 Median $13.80 Typical High $23.99 | Professional | None | $9.55 | $13.80 | $23.99 |
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 $8.71 Median $10.47 Typical High $10.96 | Professional | 52 · Reduced service | $8.71 | $10.47 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $4.27 Typical High $4.37 | Professional | 53 · Discontinued | $3.47 | $4.27 | $4.37 |
Where Virginia sits
The same service costs 6.6 times more in Alaska 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· 44th of 51
$18.20
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.