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 $32.36 Median $40.74 Typical High $89.13 | Facility | None | $32.36 | $40.74 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $32.36 Typical High $33.11 | Professional | None | $25.70 | $32.36 | $33.11 |
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 $9.55 Median $15.85 Typical High $28.84 | Professional | None | $9.55 | $15.85 | $28.84 |
CareFirst Setting Professional Modifier None Typical Low $19.50 Median $21.38 Typical High $21.88 | Professional | None | $19.50 | $21.38 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $1.82 Median $64.57 Typical High $93.33 | Facility | None | $1.82 | $64.57 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $19.95 Typical High $35.48 | Professional | None | $10.96 | $19.95 | $35.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.30 Median $38.02 Typical High $38.90 | Professional | None | $26.30 | $38.02 | $38.90 |
Medcost Setting Facility Modifier None Typical Low $14.45 Median $26.30 Typical High $32.36 | Facility | None | $14.45 | $26.30 | $32.36 |
Medcost Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $19.50 | Professional | None | $14.45 | $14.45 | $19.50 |
Sentara Setting Facility Modifier None Typical Low $18.20 Median $45.71 Typical High $7,413.10 | Facility | None | $18.20 | $45.71 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $18.20 Median $45.71 Typical High $7,413.10 | Professional | None | $18.20 | $45.71 | $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 $11.48 Median $17.38 Typical High $23.44 | Professional | None | $11.48 | $17.38 | $23.44 |
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 $13.18 Median $16.22 Typical High $16.60 | Professional | 52 · Reduced service | $13.18 | $16.22 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.46 Typical High $6.61 | Professional | 53 · Discontinued | $5.25 | $6.46 | $6.61 |
Where Virginia sits
The same service costs 8.5 times more in Alaska than in Arizona. 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· 35th of 51
$23.99
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.