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 $20.42 Median $43.65 Typical High $63.10 | Facility | None | $20.42 | $43.65 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $23.44 | Professional | None | $20.42 | $20.42 | $23.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $134.90 | Facility | None | $27.54 | $27.54 | $134.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $18.62 | Professional | None | $10.96 | $10.96 | $18.62 |
CareFirst Setting Professional Modifier None Typical Low $19.50 Median $21.88 Typical High $28.18 | Professional | None | $19.50 | $21.88 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $57.54 Typical High $83.18 | Facility | None | $27.54 | $57.54 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $16.98 Typical High $45.71 | Professional | None | $13.49 | $16.98 | $45.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.70 Median $30.20 Typical High $40.74 | Professional | None | $25.70 | $30.20 | $40.74 |
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 $48.98 | Facility | None | $40.74 | $40.74 | $48.98 |
Medcost Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $37.15 | Professional | None | $17.78 | $17.78 | $37.15 |
Sentara Setting Facility Modifier None Typical Low $24.55 Median $37.15 Typical High $10,232.93 | Facility | None | $24.55 | $37.15 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $24.55 Median $34.67 Typical High $4,570.88 | Professional | None | $24.55 | $34.67 | $4,570.88 |
United Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $11.48 Median $16.22 Typical High $38.02 | Professional | None | $11.48 | $16.22 | $38.02 |
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 $10.23 Median $10.23 Typical High $11.48 | Professional | 52 · Reduced service | $10.23 | $10.23 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $4.68 | Professional | 53 · Discontinued | $4.07 | $4.07 | $4.68 |
Where Virginia sits
The same service costs 5.4 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· 38th of 51
$21.88
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.