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 $21.88 Median $53.70 Typical High $79.43 | Facility | None | $21.88 | $53.70 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $27.54 Typical High $54.95 | Professional | None | $21.88 | $27.54 | $54.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $144.54 | Facility | None | $15.85 | $15.85 | $144.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.45 Median $17.38 Typical High $22.39 | Professional | None | $14.45 | $17.38 | $22.39 |
CareFirst Setting Professional Modifier None Typical Low $15.14 Median $23.44 Typical High $40.74 | Professional | None | $15.14 | $23.44 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $70.79 Typical High $114.82 | Facility | None | $30.20 | $70.79 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $28.18 Typical High $46.77 | Professional | None | $22.39 | $28.18 | $46.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $29.51 Median $35.48 Typical High $43.65 | Professional | None | $29.51 | $35.48 | $43.65 |
Medcost Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $57.54 | Professional | None | $48.98 | $48.98 | $57.54 |
Medcost Setting Facility Modifier None Typical Low $24.55 Median $28.18 Typical High $87.10 | Facility | None | $24.55 | $28.18 | $87.10 |
Medcost Setting Professional Modifier None Typical Low $24.55 Median $30.20 Typical High $30.20 | Professional | None | $24.55 | $30.20 | $30.20 |
Sentara Setting Facility Modifier None Typical Low $15.85 Median $33.11 Typical High $87.10 | Facility | None | $15.85 | $33.11 | $87.10 |
Sentara Setting Professional Modifier None Typical Low $15.85 Median $34.67 Typical High $131.83 | Professional | None | $15.85 | $34.67 | $131.83 |
United Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
United Setting Professional Modifier None Typical Low $12.30 Median $17.38 Typical High $24.55 | Professional | None | $12.30 | $17.38 | $24.55 |
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 $10.96 Median $13.49 Typical High $13.80 | Professional | 52 · Reduced service | $10.96 | $13.49 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $5.37 Typical High $5.50 | Professional | 53 · Discontinued | $4.37 | $5.37 | $5.50 |
Where Virginia sits
The same service costs 4.4 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· 47th of 51
$22.39
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.