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 $18.20 Median $20.42 Typical High $56.23 | Facility | None | $18.20 | $20.42 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $20.42 | Professional | None | $18.20 | $18.20 | $20.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $117.49 | Facility | None | $23.99 | $23.99 | $117.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $14.79 | Professional | None | $9.55 | $9.55 | $14.79 |
CareFirst Setting Professional Modifier None Typical Low $17.38 Median $19.05 Typical High $22.91 | Professional | None | $17.38 | $19.05 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $39.81 Typical High $60.26 | Facility | None | $24.55 | $39.81 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $14.45 Typical High $40.74 | Professional | None | $7.08 | $14.45 | $40.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.91 Median $23.99 Typical High $30.90 | Professional | None | $22.91 | $23.99 | $30.90 |
Medcost Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $43.65 | Facility | None | $21.88 | $21.88 | $43.65 |
Medcost Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $19.95 | Professional | None | $10.00 | $10.00 | $19.95 |
Sentara Setting Facility Modifier None Typical Low $15.49 Median $32.36 Typical High $10,232.93 | Facility | None | $15.49 | $32.36 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $15.49 Median $23.99 Typical High $46.77 | Professional | None | $15.49 | $23.99 | $46.77 |
United Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
United Setting Professional Modifier None Typical Low $8.91 Median $21.38 Typical High $47.86 | Professional | None | $8.91 | $21.38 | $47.86 |
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 $8.91 Median $8.91 Typical High $10.23 | Professional | 52 · Reduced service | $8.91 | $8.91 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $4.07 | Professional | 53 · Discontinued | $3.63 | $3.63 | $4.07 |
Where Virginia sits
The same service costs 8.9 times more in Texas 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
$19.95
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.