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 $13.80 Median $15.49 Typical High $42.66 | Facility | None | $13.80 | $15.49 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $15.49 Typical High $16.22 | Professional | None | $13.80 | $15.49 | $16.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $89.13 | Facility | None | $18.20 | $18.20 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $10.96 Typical High $13.49 | Professional | None | $8.13 | $10.96 | $13.49 |
CareFirst Setting Professional Modifier None Typical Low $13.18 Median $14.79 Typical High $22.91 | Professional | None | $13.18 | $14.79 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $41.69 Typical High $64.57 | Facility | None | $18.62 | $41.69 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $13.49 Typical High $26.30 | Professional | None | $9.12 | $13.49 | $26.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $26.92 | Professional | None | $18.20 | $21.88 | $26.92 |
Medcost Setting Professional Modifier None Typical Low $10.23 Median $27.54 Typical High $32.36 | Professional | None | $10.23 | $27.54 | $32.36 |
Medcost Setting Facility Modifier None Typical Low $13.80 Median $18.20 Typical High $33.11 | Facility | None | $13.80 | $18.20 | $33.11 |
Medcost Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
Sentara Setting Facility Modifier None Typical Low $14.79 Median $24.55 Typical High $10,232.93 | Facility | None | $14.79 | $24.55 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $14.79 Median $24.55 Typical High $10,232.93 | Professional | None | $14.79 | $24.55 | $10,232.93 |
United Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
United Setting Professional Modifier None Typical Low $7.76 Median $10.23 Typical High $18.20 | Professional | None | $7.76 | $10.23 | $18.20 |
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 $6.92 Median $7.76 Typical High $8.13 | Professional | 52 · Reduced service | $6.92 | $7.76 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $3.09 Typical High $3.24 | Professional | 53 · Discontinued | $2.75 | $3.09 | $3.24 |
Where Virginia sits
The same service costs 4.1 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· 47th of 51
$14.13
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.