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 $9.55 Median $10.72 Typical High $29.51 | Facility | None | $9.55 | $10.72 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $10.72 Typical High $11.22 | Professional | None | $9.55 | $10.72 | $11.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $61.66 | Facility | None | $12.59 | $12.59 | $61.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.50 Median $7.59 Typical High $9.33 | Professional | None | $5.50 | $7.59 | $9.33 |
CareFirst Setting Professional Modifier None Typical Low $9.12 Median $10.23 Typical High $15.49 | Professional | None | $9.12 | $10.23 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $27.54 Typical High $43.65 | Facility | None | $12.88 | $27.54 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $9.12 Typical High $14.45 | Professional | None | $6.31 | $9.12 | $14.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.59 Median $15.14 Typical High $18.62 | Professional | None | $12.59 | $15.14 | $18.62 |
Medcost Setting Professional Modifier None Typical Low $4.68 Median $18.62 Typical High $21.38 | Professional | None | $4.68 | $18.62 | $21.38 |
Medcost Setting Facility Modifier None Typical Low $8.32 Median $11.48 Typical High $22.91 | Facility | None | $8.32 | $11.48 | $22.91 |
Medcost Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $12.02 | Professional | None | $11.48 | $11.48 | $12.02 |
Sentara Setting Facility Modifier None Typical Low $10.23 Median $16.22 Typical High $10,232.93 | Facility | None | $10.23 | $16.22 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $10.23 Median $16.22 Typical High $10,232.93 | Professional | None | $10.23 | $16.22 | $10,232.93 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $26.92 | Facility | None | $15.14 | $15.14 | $26.92 |
United Setting Professional Modifier None Typical Low $5.37 Median $6.76 Typical High $12.59 | Professional | None | $5.37 | $6.76 | $12.59 |
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 $4.79 Median $5.37 Typical High $5.62 | Professional | 52 · Reduced service | $4.79 | $5.37 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $2.14 Typical High $2.24 | Professional | 53 · Discontinued | $1.91 | $2.14 | $2.24 |
Where Virginia sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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
$9.77
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.