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 $19.05 Median $21.88 Typical High $58.88 | Facility | None | $19.05 | $21.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $20.89 Typical High $22.91 | Professional | None | $19.05 | $20.89 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $125.89 | Facility | None | $25.70 | $25.70 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.23 Median $15.14 Typical High $19.50 | Professional | None | $10.23 | $15.14 | $19.50 |
CareFirst Setting Professional Modifier None Typical Low $18.20 Median $20.42 Typical High $25.70 | Professional | None | $18.20 | $20.42 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $42.66 Typical High $63.10 | Facility | None | $25.70 | $42.66 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $25.70 Typical High $36.31 | Professional | None | $12.88 | $25.70 | $36.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.70 Median $30.20 Typical High $38.02 | Professional | None | $25.70 | $30.20 | $38.02 |
Medcost Setting Facility Modifier None Typical Low $13.18 Median $21.88 Typical High $33.11 | Facility | None | $13.18 | $21.88 | $33.11 |
Medcost Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Sentara Setting Facility Modifier None Typical Low $18.20 Median $25.70 Typical High $57.54 | Facility | None | $18.20 | $25.70 | $57.54 |
Sentara Setting Professional Modifier None Typical Low $18.20 Median $25.70 Typical High $57.54 | Professional | None | $18.20 | $25.70 | $57.54 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $10.72 Median $13.49 Typical High $25.70 | Professional | None | $10.72 | $13.49 | $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 $9.55 Median $10.72 Typical High $11.22 | Professional | 52 · Reduced service | $9.55 | $10.72 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.37 Typical High $4.57 | Professional | 53 · Discontinued | $3.80 | $4.37 | $4.57 |
Where Virginia sits
The same service costs 3.8 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· 43rd 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.