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 $26.30 Median $53.70 Typical High $89.13 | Facility | None | $26.30 | $53.70 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $38.90 Typical High $87.10 | Professional | None | $26.30 | $38.90 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $173.78 | Facility | None | $35.48 | $35.48 | $173.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $26.30 | Professional | None | $17.38 | $17.38 | $26.30 |
CareFirst Setting Professional Modifier None Typical Low $25.12 Median $28.18 Typical High $43.65 | Professional | None | $25.12 | $28.18 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $83.18 Typical High $138.04 | Facility | None | $35.48 | $83.18 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $26.92 Typical High $69.18 | Professional | None | $19.50 | $26.92 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $52.48 | Professional | None | $33.11 | $38.90 | $52.48 |
Medcost Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Medcost Setting Facility Modifier None Typical Low $70.79 Median $72.44 Typical High $72.44 | Facility | None | $70.79 | $72.44 | $72.44 |
Medcost Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $52.48 | Professional | None | $28.18 | $28.18 | $52.48 |
Sentara Setting Facility Modifier None Typical Low $32.36 Median $48.98 Typical High $10,232.93 | Facility | None | $32.36 | $48.98 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $35.48 Median $47.86 Typical High $158.49 | Professional | None | $35.48 | $47.86 | $158.49 |
United Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
United Setting Professional Modifier None Typical Low $14.79 Median $20.89 Typical High $56.23 | Professional | None | $14.79 | $20.89 | $56.23 |
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 $13.18 Median $13.18 Typical High $16.60 | Professional | 52 · Reduced service | $13.18 | $13.18 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $6.61 | Professional | 53 · Discontinued | $5.25 | $5.25 | $6.61 |
Where Virginia sits
The same service costs 4.3 times more in Minnesota than in Maryland. 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· 41st of 51
$33.11
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.