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 $12.02 Median $13.49 Typical High $37.15 | Facility | None | $12.02 | $13.49 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $13.49 Typical High $14.13 | Professional | None | $12.02 | $13.49 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $77.62 | Facility | None | $15.85 | $15.85 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $9.33 Typical High $12.30 | Professional | None | $6.46 | $9.33 | $12.30 |
CareFirst Setting Professional Modifier None Typical Low $11.48 Median $12.88 Typical High $15.49 | Professional | None | $11.48 | $12.88 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $30.90 Typical High $47.86 | Facility | None | $16.22 | $30.90 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $9.77 Typical High $19.50 | Professional | None | $7.76 | $9.77 | $19.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.85 Median $19.05 Typical High $23.44 | Professional | None | $15.85 | $19.05 | $23.44 |
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 $13.49 Typical High $24.55 | Facility | None | $10.00 | $13.49 | $24.55 |
Medcost Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | None | $9.12 | $9.12 | $9.12 |
Sentara Setting Facility Modifier None Typical Low $12.88 Median $19.95 Typical High $10,232.93 | Facility | None | $12.88 | $19.95 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $11.48 Median $20.42 Typical High $10,232.93 | Professional | None | $11.48 | $20.42 | $10,232.93 |
United Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
United Setting Professional Modifier None Typical Low $6.46 Median $8.51 Typical High $15.85 | Professional | None | $6.46 | $8.51 | $15.85 |
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 $6.03 Median $6.76 Typical High $7.08 | Professional | 52 · Reduced service | $6.03 | $6.76 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.69 Typical High $2.82 | Professional | 53 · Discontinued | $2.40 | $2.69 | $2.82 |
Where Virginia sits
The same service costs 3.6 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· 38th of 51
$12.30
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.