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 $12.02 Median $29.51 Typical High $38.02 | Facility | None | $12.02 | $29.51 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $13.80 Typical High $13.80 | Professional | None | $12.02 | $13.80 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $79.43 | Facility | None | $16.22 | $16.22 | $79.43 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $9.77 Typical High $12.02 | Professional | None | $6.46 | $9.77 | $12.02 |
CareFirst Setting Professional Modifier None Typical Low $11.75 Median $12.88 Typical High $18.62 | Professional | None | $11.75 | $12.88 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $31.62 Typical High $52.48 | Facility | None | $16.60 | $31.62 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $10.72 Typical High $22.91 | Professional | None | $7.94 | $10.72 | $22.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.22 Median $19.50 Typical High $23.99 | Professional | None | $16.22 | $19.50 | $23.99 |
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 $13.80 Typical High $26.92 | Facility | None | $10.96 | $13.80 | $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 $12.88 Median $20.42 Typical High $10,232.93 | Facility | None | $12.88 | $20.42 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $12.88 Median $20.42 Typical High $10,232.93 | Professional | None | $12.88 | $20.42 | $10,232.93 |
United Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
United Setting Professional Modifier None Typical Low $6.76 Median $8.51 Typical High $16.22 | Professional | None | $6.76 | $8.51 | $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 $6.03 Median $6.92 Typical High $7.24 | Professional | 52 · Reduced service | $6.03 | $6.92 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.75 Typical High $2.88 | Professional | 53 · Discontinued | $2.45 | $2.75 | $2.88 |
Where Virginia sits
The same service costs 3.4 times more in Alaska 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· 40th of 51
$12.88
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.