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 $11.75 Median $13.18 Typical High $36.31 | Facility | None | $11.75 | $13.18 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $13.18 Typical High $13.18 | Professional | None | $11.75 | $13.18 | $13.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $75.86 | Facility | None | $15.49 | $15.49 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.31 Median $9.12 Typical High $12.02 | Professional | None | $6.31 | $9.12 | $12.02 |
CareFirst Setting Professional Modifier None Typical Low $11.22 Median $12.59 Typical High $15.49 | Professional | None | $11.22 | $12.59 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $30.90 Typical High $47.86 | Facility | None | $15.85 | $30.90 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $9.77 Typical High $20.89 | Professional | None | $7.76 | $9.77 | $20.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.49 Median $18.62 Typical High $22.91 | Professional | None | $15.49 | $18.62 | $22.91 |
Medcost Setting Professional Modifier None Typical Low $10.00 Median $19.95 Typical High $23.44 | Professional | None | $10.00 | $19.95 | $23.44 |
Medcost Setting Facility Modifier None Typical Low $10.00 Median $13.18 Typical High $24.55 | Facility | None | $10.00 | $13.18 | $24.55 |
Medcost Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
Sentara Setting Facility Modifier None Typical Low $12.59 Median $20.42 Typical High $10,232.93 | Facility | None | $12.59 | $20.42 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $12.59 Median $20.89 Typical High $10,232.93 | Professional | None | $12.59 | $20.89 | $10,232.93 |
United Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
United Setting Professional Modifier None Typical Low $6.46 Median $8.13 Typical High $15.49 | Professional | None | $6.46 | $8.13 | $15.49 |
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 $5.89 Median $6.61 Typical High $6.92 | Professional | 52 · Reduced service | $5.89 | $6.61 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.63 Typical High $2.75 | Professional | 53 · Discontinued | $2.34 | $2.63 | $2.75 |
Where Virginia sits
The same service costs 3.6 times more in Kansas than in Nebraska. 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
$12.02
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.