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 $22.39 Median $25.12 Typical High $69.18 | Facility | None | $22.39 | $25.12 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $25.12 | Professional | None | $22.39 | $22.39 | $25.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $144.54 | Facility | None | $29.51 | $29.51 | $144.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $20.42 | Professional | None | $12.02 | $12.02 | $20.42 |
CareFirst Setting Professional Modifier None Typical Low $21.38 Median $23.99 Typical High $28.18 | Professional | None | $21.38 | $23.99 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $57.54 Typical High $89.13 | Facility | None | $30.20 | $57.54 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $18.20 Typical High $45.71 | Professional | None | $13.49 | $18.20 | $45.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $42.66 | Professional | None | $28.18 | $33.11 | $42.66 |
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 $40.74 Median $40.74 Typical High $53.70 | Facility | None | $40.74 | $40.74 | $53.70 |
Medcost Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $37.15 | Professional | None | $19.50 | $19.50 | $37.15 |
Sentara Setting Facility Modifier None Typical Low $26.92 Median $40.74 Typical High $10,232.93 | Facility | None | $26.92 | $40.74 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $26.92 Median $35.48 Typical High $4,570.88 | Professional | None | $26.92 | $35.48 | $4,570.88 |
United Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
United Setting Professional Modifier None Typical Low $11.75 Median $16.22 Typical High $38.90 | Professional | None | $11.75 | $16.22 | $38.90 |
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 $11.22 Median $11.22 Typical High $12.59 | Professional | 52 · Reduced service | $11.22 | $11.22 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $5.13 | Professional | 53 · Discontinued | $4.47 | $4.47 | $5.13 |
Where Virginia sits
The same service costs 5.4 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· 44th of 51
$22.39
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.