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 $27.54 Median $47.86 Typical High $75.86 | Facility | None | $27.54 | $47.86 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $27.54 Typical High $28.18 | Professional | None | $19.05 | $27.54 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $724.44 Typical High $912.01 | Facility | None | $575.44 | $724.44 | $912.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.94 Median $13.49 Typical High $22.39 | Professional | None | $7.94 | $13.49 | $22.39 |
CareFirst Setting Professional Modifier None Typical Low $10.23 Median $11.48 Typical High $21.38 | Professional | None | $10.23 | $11.48 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $58.88 Typical High $91.20 | Facility | None | $22.91 | $58.88 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $18.62 Typical High $29.51 | Professional | None | $9.33 | $18.62 | $29.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.39 Median $32.36 Typical High $33.11 | Professional | None | $22.39 | $32.36 | $33.11 |
Medcost Setting Facility Modifier None Typical Low $3.63 Median $21.88 Typical High $27.54 | Facility | None | $3.63 | $21.88 | $27.54 |
Medcost Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $19.95 | Professional | None | $11.48 | $11.48 | $19.95 |
Sentara Setting Facility Modifier None Typical Low $19.05 Median $38.90 Typical High $7,413.10 | Facility | None | $19.05 | $38.90 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $19.50 Median $38.90 Typical High $7,413.10 | Professional | None | $19.50 | $38.90 | $7,413.10 |
United Setting Facility Modifier None Typical Low $323.59 Median $354.81 Typical High $794.33 | Facility | None | $323.59 | $354.81 | $794.33 |
United Setting Professional Modifier None Typical Low $9.12 Median $14.79 Typical High $19.50 | Professional | None | $9.12 | $14.79 | $19.50 |
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 $10.96 Median $13.80 Typical High $14.13 | Professional | 52 · Reduced service | $10.96 | $13.80 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $5.50 Typical High $5.62 | Professional | 53 · Discontinued | $4.47 | $5.50 | $5.62 |
Where Virginia sits
The same service costs 11.2 times more in Texas 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· 29th of 51
$20.89
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.