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 $22.91 Typical High $42.66 | Facility | None | $12.30 | $22.91 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $14.79 Typical High $15.49 | Professional | None | $12.30 | $14.79 | $15.49 |
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 $8.13 Median $9.77 Typical High $12.59 | Professional | None | $8.13 | $9.77 | $12.59 |
CareFirst Setting Professional Modifier None Typical Low $11.22 Median $13.18 Typical High $13.18 | Professional | None | $11.22 | $13.18 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $38.90 Typical High $64.57 | Facility | None | $16.60 | $38.90 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $12.59 Typical High $23.99 | Professional | None | $8.91 | $12.59 | $23.99 |
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 $11.75 Median $27.54 Typical High $31.62 | Professional | None | $11.75 | $27.54 | $31.62 |
Medcost Setting Facility Modifier None Typical Low $13.18 Median $14.79 Typical High $33.11 | Facility | None | $13.18 | $14.79 | $33.11 |
Medcost Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $23.99 | Professional | None | $14.45 | $14.45 | $23.99 |
Sentara Setting Facility Modifier None Typical Low $12.59 Median $22.39 Typical High $10,232.93 | Facility | None | $12.59 | $22.39 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $12.59 Median $22.39 Typical High $10,232.93 | Professional | None | $12.59 | $22.39 | $10,232.93 |
United Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $60.26 | Facility | None | $19.50 | $19.50 | $60.26 |
United Setting Professional Modifier None Typical Low $5.01 Median $8.51 Typical High $13.49 | Professional | None | $5.01 | $8.51 | $13.49 |
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 $7.59 Typical High $7.76 | Professional | 52 · Reduced service | $6.17 | $7.59 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $3.02 Typical High $3.09 | Professional | 53 · Discontinued | $2.45 | $3.02 | $3.09 |
Where Virginia sits
The same service costs 5.4 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· 43rd of 51
$13.18
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.