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 $25.12 Median $48.98 Typical High $72.44 | Facility | None | $25.12 | $48.98 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $24.55 Typical High $26.92 | Professional | None | $19.95 | $24.55 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $131.83 | Facility | None | $26.92 | $26.92 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $16.22 Typical High $20.42 | Professional | None | $13.18 | $16.22 | $20.42 |
CareFirst Setting Professional Modifier None Typical Low $19.50 Median $21.38 Typical High $37.15 | Professional | None | $19.50 | $21.38 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $57.54 Typical High $104.71 | Facility | None | $27.54 | $57.54 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $20.42 Typical High $38.90 | Professional | None | $14.79 | $20.42 | $38.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.92 Median $32.36 Typical High $39.81 | Professional | None | $26.92 | $32.36 | $39.81 |
Medcost Setting Professional Modifier None Typical Low $16.60 Median $44.67 Typical High $52.48 | Professional | None | $16.60 | $44.67 | $52.48 |
Medcost Setting Facility Modifier None Typical Low $22.39 Median $25.12 Typical High $54.95 | Facility | None | $22.39 | $25.12 | $54.95 |
Medcost Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $28.84 | Professional | None | $27.54 | $27.54 | $28.84 |
Sentara Setting Facility Modifier None Typical Low $23.99 Median $38.90 Typical High $10,232.93 | Facility | None | $23.99 | $38.90 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $23.99 Median $38.90 Typical High $10,232.93 | Professional | None | $23.99 | $38.90 | $10,232.93 |
United Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $11.22 Median $16.22 Typical High $28.18 | Professional | None | $11.22 | $16.22 | $28.18 |
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 $10.00 Median $12.30 Typical High $12.59 | Professional | 52 · Reduced service | $10.00 | $12.30 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $4.90 Typical High $5.01 | Professional | 53 · Discontinued | $3.98 | $4.90 | $5.01 |
Where Virginia sits
The same service costs 4.5 times more in South Carolina 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· 41st of 51
$21.38
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.