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 $10.00 Median $18.62 Typical High $33.88 | Facility | None | $10.00 | $18.62 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $12.02 Typical High $13.49 | Professional | None | $10.00 | $12.02 | $13.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $64.57 | Facility | None | $13.18 | $13.18 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $7.94 Typical High $10.00 | Professional | None | $6.46 | $7.94 | $10.00 |
CareFirst Setting Professional Modifier None Typical Low $9.55 Median $10.47 Typical High $18.62 | Professional | None | $9.55 | $10.47 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $31.62 Typical High $52.48 | Facility | None | $13.49 | $31.62 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $10.23 Typical High $19.05 | Professional | None | $7.41 | $10.23 | $19.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.18 Median $15.85 Typical High $19.50 | Professional | None | $13.18 | $15.85 | $19.50 |
Medcost Setting Professional Modifier None Typical Low $10.96 Median $21.88 Typical High $25.70 | Professional | None | $10.96 | $21.88 | $25.70 |
Medcost Setting Facility Modifier None Typical Low $10.96 Median $12.59 Typical High $26.92 | Facility | None | $10.96 | $12.59 | $26.92 |
Medcost Setting Professional Modifier None Typical Low $4.90 Median $15.49 Typical High $15.49 | Professional | None | $4.90 | $15.49 | $15.49 |
Sentara Setting Facility Modifier None Typical Low $11.75 Median $19.95 Typical High $7,413.10 | Facility | None | $11.75 | $19.95 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $11.75 Median $19.95 Typical High $10,232.93 | Professional | None | $11.75 | $19.95 | $10,232.93 |
United Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
United Setting Professional Modifier None Typical Low $5.50 Median $7.94 Typical High $13.80 | Professional | None | $5.50 | $7.94 | $13.80 |
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 $4.90 Median $6.03 Typical High $6.17 | Professional | 52 · Reduced service | $4.90 | $6.03 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.45 Typical High $2.51 | Professional | 53 · Discontinued | $2.00 | $2.45 | $2.51 |
Where Virginia sits
The same service costs 3.4 times more in South Carolina than in New York. 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
$10.72
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.