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 $15.14 Median $19.05 Typical High $52.48 | Facility | None | $15.14 | $19.05 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $19.05 | Professional | None | $15.14 | $15.14 | $19.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $97.72 | Facility | None | $19.95 | $19.95 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $15.14 | Professional | None | $10.00 | $10.00 | $15.14 |
CareFirst Setting Professional Modifier None Typical Low $14.45 Median $16.22 Typical High $25.12 | Professional | None | $14.45 | $16.22 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $47.86 Typical High $79.43 | Facility | None | $20.42 | $47.86 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $16.22 Typical High $38.90 | Professional | None | $11.75 | $16.22 | $38.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.05 Median $21.88 Typical High $29.51 | Professional | None | $19.05 | $21.88 | $29.51 |
Medcost Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Medcost Setting Facility Modifier None Typical Low $39.81 Median $40.74 Typical High $40.74 | Facility | None | $39.81 | $40.74 | $40.74 |
Medcost Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $37.15 | Professional | None | $16.22 | $16.22 | $37.15 |
Sentara Setting Facility Modifier None Typical Low $20.89 Median $33.88 Typical High $10,232.93 | Facility | None | $20.89 | $33.88 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $19.95 Median $28.84 Typical High $4,570.88 | Professional | None | $19.95 | $28.84 | $4,570.88 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $8.51 Median $12.02 Typical High $32.36 | Professional | None | $8.51 | $12.02 | $32.36 |
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 $7.59 Median $7.59 Typical High $9.55 | Professional | 52 · Reduced service | $7.59 | $7.59 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $3.80 | Professional | 53 · Discontinued | $3.02 | $3.02 | $3.80 |
Where Virginia sits
The same service costs 5.5 times more in Texas 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
$16.22
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.