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 $18.20 Median $33.88 Typical High $63.10 | Facility | None | $18.20 | $33.88 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $29.51 | Professional | None | $18.20 | $21.88 | $29.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $120.23 | Facility | None | $24.55 | $24.55 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.02 Median $14.79 Typical High $18.62 | Professional | None | $12.02 | $14.79 | $18.62 |
CareFirst Setting Professional Modifier None Typical Low $17.38 Median $19.50 Typical High $33.88 | Professional | None | $17.38 | $19.50 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $57.54 Typical High $95.50 | Facility | None | $24.55 | $57.54 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $18.62 Typical High $35.48 | Professional | None | $13.49 | $18.62 | $35.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $24.55 Median $29.51 Typical High $36.31 | Professional | None | $24.55 | $29.51 | $36.31 |
Medcost Setting Professional Modifier None Typical Low $20.42 Median $40.74 Typical High $47.86 | Professional | None | $20.42 | $40.74 | $47.86 |
Medcost Setting Facility Modifier None Typical Low $20.42 Median $22.91 Typical High $50.12 | Facility | None | $20.42 | $22.91 | $50.12 |
Medcost Setting Professional Modifier None Typical Low $18.62 Median $25.12 Typical High $25.12 | Professional | None | $18.62 | $25.12 | $25.12 |
Sentara Setting Facility Modifier None Typical Low $21.88 Median $41.69 Typical High $7,413.10 | Facility | None | $21.88 | $41.69 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $21.88 Median $41.69 Typical High $10,232.93 | Professional | None | $21.88 | $41.69 | $10,232.93 |
United Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
United Setting Professional Modifier None Typical Low $10.23 Median $14.45 Typical High $25.70 | Professional | None | $10.23 | $14.45 | $25.70 |
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 $9.12 Median $11.22 Typical High $11.48 | Professional | 52 · Reduced service | $9.12 | $11.22 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $4.47 Typical High $4.57 | Professional | 53 · Discontinued | $3.63 | $4.47 | $4.57 |
Where Virginia sits
The same service costs 4.0 times more in Kansas 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· 46th of 51
$19.50
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.