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 $16.60 Median $40.74 Typical High $60.26 | Facility | None | $16.60 | $40.74 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $20.89 Typical High $54.95 | Professional | None | $16.60 | $20.89 | $54.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $109.65 | Facility | None | $15.85 | $15.85 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $13.18 Typical High $16.98 | Professional | None | $10.96 | $13.18 | $16.98 |
CareFirst Setting Professional Modifier None Typical Low $16.22 Median $17.78 Typical High $30.90 | Professional | None | $16.22 | $17.78 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $53.70 Typical High $89.13 | Facility | None | $22.91 | $53.70 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $23.99 Typical High $39.81 | Professional | None | $19.95 | $23.99 | $39.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.39 Median $26.92 Typical High $33.11 | Professional | None | $22.39 | $26.92 | $33.11 |
Medcost Setting Professional Modifier None Typical Low $18.62 Median $37.15 Typical High $43.65 | Professional | None | $18.62 | $37.15 | $43.65 |
Medcost Setting Facility Modifier None Typical Low $18.62 Median $22.39 Typical High $72.44 | Facility | None | $18.62 | $22.39 | $72.44 |
Medcost Setting Professional Modifier None Typical Low $14.45 Median $22.91 Typical High $22.91 | Professional | None | $14.45 | $22.91 | $22.91 |
Sentara Setting Facility Modifier None Typical Low $15.85 Median $26.30 Typical High $281.84 | Facility | None | $15.85 | $26.30 | $281.84 |
Sentara Setting Professional Modifier None Typical Low $15.85 Median $28.84 Typical High $407.38 | Professional | None | $15.85 | $28.84 | $407.38 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
United Setting Professional Modifier None Typical Low $9.33 Median $13.49 Typical High $23.44 | Professional | None | $9.33 | $13.49 | $23.44 |
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 $8.32 Median $10.23 Typical High $10.47 | Professional | 52 · Reduced service | $8.32 | $10.23 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $4.07 Typical High $4.27 | Professional | 53 · Discontinued | $3.39 | $4.07 | $4.27 |
Where Virginia sits
The same service costs 4.8 times more in Minnesota 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· 47th of 51
$18.20
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.