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 $16.60 Median $19.05 Typical High $52.48 | Facility | None | $16.60 | $19.05 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $19.05 | Professional | None | $16.60 | $16.60 | $19.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $107.15 | Facility | None | $21.88 | $21.88 | $107.15 |
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 $15.85 Median $17.38 Typical High $25.12 | Professional | None | $15.85 | $17.38 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $52.48 Typical High $79.43 | Facility | None | $22.39 | $52.48 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $16.22 Typical High $38.90 | Professional | None | $12.59 | $16.22 | $38.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.89 Median $23.99 Typical High $32.36 | Professional | None | $20.89 | $23.99 | $32.36 |
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 $34.67 Typical High $10,232.93 | Facility | None | $20.89 | $34.67 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $20.89 Median $30.20 Typical High $4,570.88 | Professional | None | $20.89 | $30.20 | $4,570.88 |
United Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
United Setting Professional Modifier None Typical Low $9.12 Median $13.18 Typical High $32.36 | Professional | None | $9.12 | $13.18 | $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 $8.13 Median $8.13 Typical High $9.55 | Professional | 52 · Reduced service | $8.13 | $8.13 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $3.80 | Professional | 53 · Discontinued | $3.31 | $3.31 | $3.80 |
Where Virginia sits
The same service costs 4.7 times more in Alaska 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
$17.38
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.