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 $14.13 Median $41.69 Typical High $50.12 | Facility | None | $14.13 | $41.69 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $16.60 Typical High $17.78 | Professional | None | $14.13 | $16.60 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $91.20 | Facility | None | $18.62 | $18.62 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $11.48 Typical High $14.45 | Professional | None | $9.33 | $11.48 | $14.45 |
CareFirst Setting Professional Modifier None Typical Low $13.49 Median $15.14 Typical High $20.42 | Professional | None | $13.49 | $15.14 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $44.67 Typical High $74.13 | Facility | None | $19.05 | $44.67 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $14.45 Typical High $26.92 | Professional | None | $10.47 | $14.45 | $26.92 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.62 Median $22.39 Typical High $27.54 | Professional | None | $18.62 | $22.39 | $27.54 |
Medcost Setting Professional Modifier None Typical Low $15.49 Median $31.62 Typical High $36.31 | Professional | None | $15.49 | $31.62 | $36.31 |
Medcost Setting Facility Modifier None Typical Low $15.49 Median $16.60 Typical High $38.02 | Facility | None | $15.49 | $16.60 | $38.02 |
Medcost Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $41.69 | Professional | None | $16.60 | $16.60 | $41.69 |
Sentara Setting Facility Modifier None Typical Low $16.60 Median $27.54 Typical High $10,232.93 | Facility | None | $16.60 | $27.54 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $16.60 Median $26.92 Typical High $10,232.93 | Professional | None | $16.60 | $26.92 | $10,232.93 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $52.48 | Facility | None | $22.39 | $22.39 | $52.48 |
United Setting Professional Modifier None Typical Low $7.94 Median $10.96 Typical High $18.62 | Professional | None | $7.94 | $10.96 | $18.62 |
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 $7.08 Median $8.71 Typical High $8.91 | Professional | 52 · Reduced service | $7.08 | $8.71 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.47 Typical High $3.55 | Professional | 53 · Discontinued | $2.82 | $3.47 | $3.55 |
Where Virginia sits
The same service costs 5.1 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· 45th of 51
$15.14
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.