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 $10.96 Median $12.30 Typical High $33.88 | Facility | None | $10.96 | $12.30 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $12.30 Typical High $12.30 | Professional | None | $10.96 | $12.30 | $12.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $70.79 | Facility | None | $14.45 | $14.45 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $8.71 Typical High $10.72 | Professional | None | $5.75 | $8.71 | $10.72 |
CareFirst Setting Professional Modifier None Typical Low $10.47 Median $11.48 Typical High $11.75 | Professional | None | $10.47 | $11.48 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $28.18 Typical High $37.15 | Facility | None | $14.79 | $28.18 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $8.71 Typical High $16.98 | Professional | None | $5.62 | $8.71 | $16.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.45 Median $17.38 Typical High $21.38 | Professional | None | $14.45 | $17.38 | $21.38 |
Medcost Setting Professional Modifier None Typical Low $7.08 Median $14.13 Typical High $16.60 | Professional | None | $7.08 | $14.13 | $16.60 |
Medcost Setting Facility Modifier None Typical Low $7.08 Median $11.48 Typical High $17.38 | Facility | None | $7.08 | $11.48 | $17.38 |
Medcost Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $9.55 | Professional | None | $7.59 | $7.59 | $9.55 |
Sentara Setting Facility Modifier None Typical Low $10.47 Median $16.98 Typical High $10,232.93 | Facility | None | $10.47 | $16.98 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $10.47 Median $16.98 Typical High $10,232.93 | Professional | None | $10.47 | $16.98 | $10,232.93 |
United Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
United Setting Professional Modifier None Typical Low $5.01 Median $6.92 Typical High $11.75 | Professional | None | $5.01 | $6.92 | $11.75 |
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 $5.37 Median $6.17 Typical High $6.46 | Professional | 52 · Reduced service | $5.37 | $6.17 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.45 Typical High $2.57 | Professional | 53 · Discontinued | $2.19 | $2.45 | $2.57 |
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· 35th of 51
$10.96
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.