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 $10.23 Median $28.18 Typical High $52.48 | Facility | None | $10.23 | $28.18 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $10.23 Typical High $29.51 | Professional | None | $9.77 | $10.23 | $29.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $74.13 | Facility | None | $38.02 | $38.02 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.79 Median $21.38 Typical High $27.54 | Professional | None | $4.79 | $21.38 | $27.54 |
CareFirst Setting Professional Modifier None Typical Low $12.02 Median $30.20 Typical High $30.20 | Professional | None | $12.02 | $30.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $63.10 Typical High $93.33 | Facility | None | $24.55 | $63.10 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $38.02 Typical High $53.70 | Professional | None | $15.85 | $38.02 | $53.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.02 Median $45.71 Typical High $56.23 | Professional | None | $38.02 | $45.71 | $56.23 |
Medcost Setting Facility Modifier None Typical Low $9.55 Median $10.47 Typical High $38.02 | Facility | None | $9.55 | $10.47 | $38.02 |
Medcost Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Sentara Setting Facility Modifier None Typical Low $10.23 Median $15.49 Typical High $7,413.10 | Facility | None | $10.23 | $15.49 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $10.23 Median $15.49 Typical High $7,413.10 | Professional | None | $10.23 | $15.49 | $7,413.10 |
United Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.24 Typical High $17.38 | Professional | None | $5.01 | $7.24 | $17.38 |
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 $4.90 Median $5.13 Typical High $14.79 | Professional | 52 · Reduced service | $4.90 | $5.13 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.04 Typical High $5.89 | Professional | 53 · Discontinued | $2.00 | $2.04 | $5.89 |
Where Virginia sits
The same service costs 10.0 times more in Alaska than in New Jersey. 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· 25th of 51
$22.91
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.