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 $19.05 Median $38.90 Typical High $64.57 | Facility | None | $19.05 | $38.90 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $23.44 Typical High $30.20 | Professional | None | $19.05 | $23.44 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $125.89 | Facility | None | $25.70 | $25.70 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.59 Median $15.14 Typical High $19.50 | Professional | None | $12.59 | $15.14 | $19.50 |
CareFirst Setting Professional Modifier None Typical Low $18.20 Median $20.42 Typical High $35.48 | Professional | None | $18.20 | $20.42 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $53.70 Typical High $100.00 | Facility | None | $25.70 | $53.70 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $19.50 Typical High $36.31 | Professional | None | $13.80 | $19.50 | $36.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.70 Median $30.20 Typical High $38.02 | Professional | None | $25.70 | $30.20 | $38.02 |
Medcost Setting Professional Modifier None Typical Low $9.55 Median $42.66 Typical High $50.12 | Professional | None | $9.55 | $42.66 | $50.12 |
Medcost Setting Facility Modifier None Typical Low $20.42 Median $23.99 Typical High $52.48 | Facility | None | $20.42 | $23.99 | $52.48 |
Medcost Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $30.20 | Professional | None | $26.30 | $26.30 | $30.20 |
Sentara Setting Facility Modifier None Typical Low $22.91 Median $37.15 Typical High $7,413.10 | Facility | None | $22.91 | $37.15 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $22.91 Median $38.90 Typical High $10,232.93 | Professional | None | $22.91 | $38.90 | $10,232.93 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $10.72 Median $14.79 Typical High $26.92 | Professional | None | $10.72 | $14.79 | $26.92 |
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 $9.55 Median $11.75 Typical High $12.02 | Professional | 52 · Reduced service | $9.55 | $11.75 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.68 Typical High $4.79 | Professional | 53 · Discontinued | $3.80 | $4.68 | $4.79 |
Where Virginia sits
The same service costs 4.6 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· 37th of 51
$21.88
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.