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 $10.47 Median $19.50 Typical High $32.36 | Facility | None | $10.47 | $19.50 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $11.75 Typical High $17.78 | Professional | None | $10.47 | $11.75 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $67.61 | Facility | None | $13.80 | $13.80 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $8.13 Typical High $10.72 | Professional | None | $5.89 | $8.13 | $10.72 |
CareFirst Setting Professional Modifier None Typical Low $10.00 Median $11.22 Typical High $15.49 | Professional | None | $10.00 | $11.22 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $30.90 Typical High $47.86 | Facility | None | $14.13 | $30.90 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $10.96 Typical High $19.50 | Professional | None | $7.08 | $10.96 | $19.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.80 Median $16.60 Typical High $20.42 | Professional | None | $13.80 | $16.60 | $20.42 |
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 $13.80 Typical High $24.55 | Facility | None | $10.00 | $13.80 | $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 $11.75 Median $17.38 Typical High $7,413.10 | Facility | None | $11.75 | $17.38 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $11.75 Median $17.78 Typical High $10,232.93 | Professional | None | $11.75 | $17.78 | $10,232.93 |
United Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier None Typical Low $5.89 Median $7.41 Typical High $13.80 | Professional | None | $5.89 | $7.41 | $13.80 |
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 $5.25 Median $5.89 Typical High $6.17 | Professional | 52 · Reduced service | $5.25 | $5.89 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.34 Typical High $2.45 | Professional | 53 · Discontinued | $2.09 | $2.34 | $2.45 |
Where Virginia sits
The same service costs 3.3 times more in Kansas than in New Jersey. 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
$11.22
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.