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 $19.95 Median $22.91 Typical High $63.10 | Facility | None | $19.95 | $22.91 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $21.38 Typical High $26.30 | Professional | None | $19.95 | $21.38 | $26.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $131.83 | Facility | None | $26.92 | $26.92 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $18.62 | Professional | None | $10.72 | $10.72 | $18.62 |
CareFirst Setting Professional Modifier None Typical Low $19.50 Median $21.38 Typical High $28.18 | Professional | None | $19.50 | $21.38 | $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 $13.18 Median $16.98 Typical High $45.71 | Professional | None | $13.18 | $16.98 | $45.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.70 Median $29.51 Typical High $39.81 | Professional | None | $25.70 | $29.51 | $39.81 |
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 $47.86 | Facility | None | $40.74 | $40.74 | $47.86 |
Medcost Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $37.15 | Professional | None | $17.38 | $17.38 | $37.15 |
Sentara Setting Facility Modifier None Typical Low $25.12 Median $45.71 Typical High $10,232.93 | Facility | None | $25.12 | $45.71 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $23.99 Median $35.48 Typical High $218.78 | Professional | None | $23.99 | $35.48 | $218.78 |
United Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $11.22 Median $16.22 Typical High $37.15 | Professional | None | $11.22 | $16.22 | $37.15 |
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 $10.00 Median $10.00 Typical High $11.48 | Professional | 52 · Reduced service | $10.00 | $10.00 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $4.57 | Professional | 53 · Discontinued | $4.07 | $4.07 | $4.57 |
Where Virginia sits
The same service costs 5.1 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
$21.38
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.