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 $37.15 Median $46.77 Typical High $125.89 | Facility | None | $37.15 | $46.77 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $44.67 Typical High $46.77 | Professional | None | $37.15 | $44.67 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $239.88 | Facility | None | $48.98 | $48.98 | $239.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $29.51 Typical High $38.02 | Professional | None | $23.99 | $29.51 | $38.02 |
CareFirst Setting Professional Modifier None Typical Low $35.48 Median $38.90 Typical High $69.18 | Professional | None | $35.48 | $38.90 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $117.49 Typical High $194.98 | Facility | None | $50.12 | $117.49 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $38.02 Typical High $70.79 | Professional | None | $26.92 | $38.02 | $70.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $48.98 Median $58.88 Typical High $72.44 | Professional | None | $48.98 | $58.88 | $72.44 |
Medcost Setting Professional Modifier None Typical Low $40.74 Median $81.28 Typical High $95.50 | Professional | None | $40.74 | $81.28 | $95.50 |
Medcost Setting Facility Modifier None Typical Low $40.74 Median $46.77 Typical High $100.00 | Facility | None | $40.74 | $46.77 | $100.00 |
Medcost Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $83.18 | Professional | None | $51.29 | $51.29 | $83.18 |
Sentara Setting Facility Modifier None Typical Low $43.65 Median $75.86 Typical High $7,413.10 | Facility | None | $43.65 | $75.86 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $43.65 Median $75.86 Typical High $10,232.93 | Professional | None | $43.65 | $75.86 | $10,232.93 |
United Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $120.23 | Facility | None | $58.88 | $58.88 | $120.23 |
United Setting Professional Modifier None Typical Low $20.42 Median $29.51 Typical High $51.29 | Professional | None | $20.42 | $29.51 | $51.29 |
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 $18.20 Median $22.39 Typical High $22.91 | Professional | 52 · Reduced service | $18.20 | $22.39 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $9.12 Typical High $9.33 | Professional | 53 · Discontinued | $7.41 | $9.12 | $9.33 |
Where Virginia sits
The same service costs 3.5 times more in Kansas than in Rhode Island. 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· 45th of 51
$38.90
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.