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 $11.48 Median $14.45 Typical High $39.81 | Facility | None | $11.48 | $14.45 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $13.49 Typical High $14.45 | Professional | None | $11.48 | $13.49 | $14.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $74.13 | Facility | None | $15.14 | $15.14 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.59 Median $9.33 Typical High $11.22 | Professional | None | $7.59 | $9.33 | $11.22 |
CareFirst Setting Professional Modifier None Typical Low $10.96 Median $12.30 Typical High $21.38 | Professional | None | $10.96 | $12.30 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $37.15 Typical High $60.26 | Facility | None | $15.49 | $37.15 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $11.75 Typical High $21.88 | Professional | None | $8.32 | $11.75 | $21.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.14 Median $18.20 Typical High $22.39 | Professional | None | $15.14 | $18.20 | $22.39 |
Medcost Setting Professional Modifier None Typical Low $12.59 Median $25.70 Typical High $30.20 | Professional | None | $12.59 | $25.70 | $30.20 |
Medcost Setting Facility Modifier None Typical Low $12.59 Median $14.45 Typical High $31.62 | Facility | None | $12.59 | $14.45 | $31.62 |
Medcost Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $42.66 | Professional | None | $18.20 | $18.20 | $42.66 |
Sentara Setting Facility Modifier None Typical Low $13.80 Median $22.39 Typical High $7,413.10 | Facility | None | $13.80 | $22.39 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $13.80 Median $22.39 Typical High $10,232.93 | Professional | None | $13.80 | $22.39 | $10,232.93 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
United Setting Professional Modifier None Typical Low $6.46 Median $9.12 Typical High $16.22 | Professional | None | $6.46 | $9.12 | $16.22 |
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 $5.75 Median $7.08 Typical High $7.24 | Professional | 52 · Reduced service | $5.75 | $7.08 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.82 Typical High $2.88 | Professional | 53 · Discontinued | $2.29 | $2.82 | $2.88 |
Where Virginia sits
The same service costs 3.9 times more in Kansas than in Nebraska. 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· 45th of 51
$12.30
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.