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 $12.59 Median $14.45 Typical High $38.90 | Facility | None | $12.59 | $14.45 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $14.45 Typical High $23.44 | Professional | None | $12.59 | $14.45 | $23.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $83.18 | Facility | None | $16.98 | $16.98 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $12.88 | Professional | None | $7.08 | $10.00 | $12.88 |
CareFirst Setting Professional Modifier None Typical Low $12.02 Median $13.49 Typical High $19.95 | Professional | None | $12.02 | $13.49 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $33.11 Typical High $56.23 | Facility | None | $17.38 | $33.11 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $12.02 Typical High $25.12 | Professional | None | $8.51 | $12.02 | $25.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.98 Median $20.42 Typical High $25.12 | Professional | None | $16.98 | $20.42 | $25.12 |
Medcost Setting Facility Modifier None Typical Low $11.48 Median $14.45 Typical High $26.30 | Facility | None | $11.48 | $14.45 | $26.30 |
Medcost Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Sentara Setting Facility Modifier None Typical Low $14.13 Median $20.89 Typical High $7,413.10 | Facility | None | $14.13 | $20.89 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $14.13 Median $20.89 Typical High $7,413.10 | Professional | None | $14.13 | $20.89 | $7,413.10 |
United Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
United Setting Professional Modifier None Typical Low $7.08 Median $8.91 Typical High $16.98 | Professional | None | $7.08 | $8.91 | $16.98 |
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 $6.31 Median $7.24 Typical High $7.59 | Professional | 52 · Reduced service | $6.31 | $7.24 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.88 Typical High $3.02 | Professional | 53 · Discontinued | $2.51 | $2.88 | $3.02 |
Where Virginia sits
The same service costs 3.7 times more in Alaska than in Georgia. 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
$13.49
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.