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 $14.79 Median $27.54 Typical High $50.12 | Facility | None | $14.79 | $27.54 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $17.78 Typical High $18.62 | Professional | None | $14.79 | $17.78 | $18.62 |
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 $9.77 Median $11.75 Typical High $15.14 | Professional | None | $9.77 | $11.75 | $15.14 |
CareFirst Setting Professional Modifier None Typical Low $14.13 Median $15.85 Typical High $27.54 | Professional | None | $14.13 | $15.85 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $46.77 Typical High $77.62 | Facility | None | $19.95 | $46.77 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $15.14 Typical High $28.18 | Professional | None | $10.72 | $15.14 | $28.18 |
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 $33.11 Typical High $38.02 | Professional | None | $16.22 | $33.11 | $38.02 |
Medcost Setting Facility Modifier None Typical Low $15.85 Median $18.62 Typical High $39.81 | Facility | None | $15.85 | $18.62 | $39.81 |
Medcost Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Sentara Setting Facility Modifier None Typical Low $17.38 Median $27.54 Typical High $7,413.10 | Facility | None | $17.38 | $27.54 | $7,413.10 |
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 $8.32 Median $11.48 Typical High $20.42 | Professional | None | $8.32 | $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 $7.41 Median $9.12 Typical High $9.33 | Professional | 52 · Reduced service | $7.41 | $9.12 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.63 Typical High $3.72 | Professional | 53 · Discontinued | $2.95 | $3.63 | $3.72 |
Where Virginia sits
The same service costs 4.6 times more in Kansas than in Alabama. 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.