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 $38.02 Median $42.66 Typical High $117.49 | Facility | None | $38.02 | $42.66 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $42.66 | Professional | None | $38.02 | $38.02 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $245.47 | Facility | None | $50.12 | $50.12 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $30.90 | Professional | None | $20.42 | $20.42 | $30.90 |
CareFirst Setting Professional Modifier None Typical Low $36.31 Median $40.74 Typical High $47.86 | Professional | None | $36.31 | $40.74 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $60.26 Typical High $125.89 | Facility | None | $33.11 | $60.26 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $21.88 Typical High $85.11 | Professional | None | $7.59 | $21.88 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $47.86 Median $50.12 Typical High $66.07 | Professional | None | $47.86 | $50.12 | $66.07 |
Medcost Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $91.20 | Facility | None | $23.44 | $23.44 | $91.20 |
Medcost Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $19.95 | Professional | None | $18.62 | $18.62 | $19.95 |
Sentara Setting Facility Modifier None Typical Low $17.78 Median $64.57 Typical High $10,232.93 | Facility | None | $17.78 | $64.57 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $16.60 Median $50.12 Typical High $93.33 | Professional | None | $16.60 | $50.12 | $93.33 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $9.55 Median $33.11 Typical High $81.28 | Professional | None | $9.55 | $33.11 | $81.28 |
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 $19.05 Median $19.05 Typical High $21.38 | Professional | 52 · Reduced service | $19.05 | $19.05 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $8.51 | Professional | 53 · Discontinued | $7.59 | $7.59 | $8.51 |
Where Virginia sits
The same service costs 10.2 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· 32nd of 51
$40.74
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.