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 $14.45 Median $29.51 Typical High $52.48 | Facility | None | $14.45 | $29.51 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $16.98 Typical High $19.50 | Professional | None | $14.45 | $16.98 | $19.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $95.50 | Facility | None | $19.50 | $19.50 | $95.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.55 Median $11.48 Typical High $14.79 | Professional | None | $9.55 | $11.48 | $14.79 |
CareFirst Setting Professional Modifier None Typical Low $13.80 Median $15.49 Typical High $26.92 | Professional | None | $13.80 | $15.49 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $46.77 Typical High $77.62 | Facility | None | $19.50 | $46.77 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $14.79 Typical High $27.54 | Professional | None | $10.72 | $14.79 | $27.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.50 Median $23.44 Typical High $28.84 | Professional | None | $19.50 | $23.44 | $28.84 |
Medcost Setting Professional Modifier None Typical Low $16.22 Median $32.36 Typical High $38.02 | Professional | None | $16.22 | $32.36 | $38.02 |
Medcost Setting Facility Modifier None Typical Low $16.22 Median $18.20 Typical High $39.81 | Facility | None | $16.22 | $18.20 | $39.81 |
Medcost Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Sentara Setting Facility Modifier None Typical Low $17.38 Median $28.18 Typical High $10,232.93 | Facility | None | $17.38 | $28.18 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $17.38 Median $27.54 Typical High $10,232.93 | Professional | None | $17.38 | $27.54 | $10,232.93 |
United Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
United Setting Professional Modifier None Typical Low $8.13 Median $11.48 Typical High $20.42 | Professional | None | $8.13 | $11.48 | $20.42 |
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 $7.24 Median $8.91 Typical High $9.12 | Professional | 52 · Reduced service | $7.24 | $8.91 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.55 Typical High $3.63 | Professional | 53 · Discontinued | $2.88 | $3.55 | $3.63 |
Where Virginia sits
The same service costs 4.3 times more in Kansas 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· 42nd of 51
$15.85
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.