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 $14.13 Median $26.92 Typical High $38.90 | Facility | None | $14.13 | $26.92 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $17.38 Typical High $32.36 | Professional | None | $13.49 | $17.38 | $32.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $81.28 | Facility | None | $16.60 | $16.60 | $81.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $10.00 Typical High $12.59 | Professional | None | $8.13 | $10.00 | $12.59 |
CareFirst Setting Professional Modifier None Typical Low $12.02 Median $13.18 Typical High $15.49 | Professional | None | $12.02 | $13.18 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $34.67 Typical High $48.98 | Facility | None | $16.98 | $34.67 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $13.18 Typical High $20.89 | Professional | None | $7.94 | $13.18 | $20.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.60 Median $19.95 Typical High $24.55 | Professional | None | $16.60 | $19.95 | $24.55 |
Medcost Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $23.44 | Professional | None | $19.95 | $19.95 | $23.44 |
Medcost Setting Facility Modifier None Typical Low $12.02 Median $16.60 Typical High $24.55 | Facility | None | $12.02 | $16.60 | $24.55 |
Medcost Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Sentara Setting Facility Modifier None Typical Low $12.02 Median $19.50 Typical High $7,413.10 | Facility | None | $12.02 | $19.50 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $12.02 Median $19.50 Typical High $7,413.10 | Professional | None | $12.02 | $19.50 | $7,413.10 |
United Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
United Setting Professional Modifier None Typical Low $10.00 Median $14.79 Typical High $18.62 | Professional | None | $10.00 | $14.79 | $18.62 |
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 $6.61 Median $7.08 Typical High $7.94 | Professional | 52 · Reduced service | $6.61 | $7.08 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.82 Typical High $3.24 | Professional | 53 · Discontinued | $2.63 | $2.82 | $3.24 |
Where Virginia sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 39th of 51
$14.45
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.