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 $13.49 Median $16.98 Typical High $46.77 | Facility | None | $13.49 | $16.98 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $16.98 | Professional | None | $13.49 | $13.49 | $16.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $89.13 | Facility | None | $17.78 | $17.78 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $14.79 | Professional | None | $8.91 | $8.91 | $14.79 |
CareFirst Setting Professional Modifier None Typical Low $12.88 Median $14.45 Typical High $16.98 | Professional | None | $12.88 | $14.45 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $42.66 Typical High $60.26 | Facility | None | $18.20 | $42.66 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $12.30 Typical High $31.62 | Professional | None | $9.77 | $12.30 | $31.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.98 Median $19.95 Typical High $25.12 | Professional | None | $16.98 | $19.95 | $25.12 |
Medcost Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $35.48 | Facility | None | $30.90 | $30.90 | $35.48 |
Medcost Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $28.18 | Professional | None | $14.45 | $14.45 | $28.18 |
Sentara Setting Facility Modifier None Typical Low $15.85 Median $25.12 Typical High $10,232.93 | Facility | None | $15.85 | $25.12 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $17.78 Median $23.44 Typical High $33.11 | Professional | None | $17.78 | $23.44 | $33.11 |
United Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
United Setting Professional Modifier None Typical Low $10.72 Median $17.78 Typical High $38.02 | Professional | None | $10.72 | $17.78 | $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 $6.76 Median $6.76 Typical High $8.51 | Professional | 52 · Reduced service | $6.76 | $6.76 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $3.39 | Professional | 53 · Discontinued | $2.69 | $2.69 | $3.39 |
Where Virginia sits
The same service costs 10.2 times more in Texas 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· 41st of 51
$17.78
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.