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 $24.55 Median $34.67 Typical High $75.86 | Facility | None | $24.55 | $34.67 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $27.54 Typical High $45.71 | Professional | None | $24.55 | $27.54 | $45.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $162.18 | Facility | None | $33.11 | $33.11 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $19.50 Typical High $25.12 | Professional | None | $13.18 | $19.50 | $25.12 |
CareFirst Setting Professional Modifier None Typical Low $23.44 Median $26.30 Typical High $33.11 | Professional | None | $23.44 | $26.30 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $57.54 Typical High $109.65 | Facility | None | $33.11 | $57.54 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $24.55 Typical High $46.77 | Professional | None | $15.14 | $24.55 | $46.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $48.98 | Professional | None | $33.11 | $38.90 | $48.98 |
Medcost Setting Facility Modifier None Typical Low $23.99 Median $33.11 Typical High $43.65 | Facility | None | $23.99 | $33.11 | $43.65 |
Medcost Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Sentara Setting Facility Modifier None Typical Low $23.44 Median $38.90 Typical High $7,413.10 | Facility | None | $23.44 | $38.90 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $23.44 Median $38.90 Typical High $7,413.10 | Professional | None | $23.44 | $38.90 | $7,413.10 |
United Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
United Setting Professional Modifier None Typical Low $13.80 Median $17.38 Typical High $33.11 | Professional | None | $13.80 | $17.38 | $33.11 |
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 $12.30 Median $13.80 Typical High $14.45 | Professional | 52 · Reduced service | $12.30 | $13.80 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.62 Typical High $5.89 | Professional | 53 · Discontinued | $4.90 | $5.62 | $5.89 |
Where Virginia sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 37th of 51
$26.30
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.