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 $8.91 Median $17.78 Typical High $31.62 | Facility | None | $8.91 | $17.78 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $10.72 Typical High $17.78 | Professional | None | $8.91 | $10.72 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $57.54 | Facility | None | $11.75 | $11.75 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $7.08 Typical High $9.12 | Professional | None | $5.75 | $7.08 | $9.12 |
CareFirst Setting Professional Modifier None Typical Low $8.51 Median $9.33 Typical High $16.60 | Professional | None | $8.51 | $9.33 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $28.18 Typical High $46.77 | Facility | None | $12.02 | $28.18 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $9.12 Typical High $16.60 | Professional | None | $6.46 | $9.12 | $16.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.75 Median $14.13 Typical High $17.38 | Professional | None | $11.75 | $14.13 | $17.38 |
Medcost Setting Professional Modifier None Typical Low $9.77 Median $19.50 Typical High $22.91 | Professional | None | $9.77 | $19.50 | $22.91 |
Medcost Setting Facility Modifier None Typical Low $9.77 Median $11.22 Typical High $23.99 | Facility | None | $9.77 | $11.22 | $23.99 |
Medcost Setting Professional Modifier None Typical Low $11.22 Median $13.80 Typical High $13.80 | Professional | None | $11.22 | $13.80 | $13.80 |
Sentara Setting Facility Modifier None Typical Low $10.47 Median $17.78 Typical High $4,570.88 | Facility | None | $10.47 | $17.78 | $4,570.88 |
Sentara Setting Professional Modifier None Typical Low $10.47 Median $17.78 Typical High $4,570.88 | Professional | None | $10.47 | $17.78 | $4,570.88 |
United Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
United Setting Professional Modifier None Typical Low $4.90 Median $7.08 Typical High $12.30 | Professional | None | $4.90 | $7.08 | $12.30 |
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 $4.47 Median $5.37 Typical High $5.62 | Professional | 52 · Reduced service | $4.47 | $5.37 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $2.19 Typical High $2.24 | Professional | 53 · Discontinued | $1.78 | $2.19 | $2.24 |
Where Virginia sits
The same service costs 4.5 times more in Alaska than in Maryland. 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· 40th of 51
$10.47
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.