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 $12.88 Median $12.88 Typical High $34.67 | Facility | None | $12.88 | $12.88 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $13.18 | Professional | None | $12.88 | $12.88 | $13.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $74.13 | Facility | None | $18.62 | $18.62 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $9.77 | Professional | None | $5.89 | $5.89 | $9.77 |
CareFirst Setting Professional Modifier None Typical Low $13.18 Median $14.45 Typical High $16.98 | Professional | None | $13.18 | $14.45 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $33.88 Typical High $51.29 | Facility | None | $18.20 | $33.88 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $10.47 Typical High $29.51 | Professional | None | $7.08 | $10.47 | $29.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.78 Median $20.42 Typical High $23.99 | Professional | None | $17.78 | $20.42 | $23.99 |
Medcost Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $26.92 | Facility | None | $21.88 | $21.88 | $26.92 |
Medcost Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $19.95 | Professional | None | $9.55 | $9.55 | $19.95 |
Sentara Setting Facility Modifier None Typical Low $12.02 Median $21.88 Typical High $10,232.93 | Facility | None | $12.02 | $21.88 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $15.14 Median $17.78 Typical High $34.67 | Professional | None | $15.14 | $17.78 | $34.67 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $8.91 Median $14.79 Typical High $30.20 | Professional | None | $8.91 | $14.79 | $30.20 |
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 $6.31 Median $6.46 Typical High $6.46 | Professional | 52 · Reduced service | $6.31 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.57 Typical High $2.63 | Professional | 53 · Discontinued | $2.51 | $2.57 | $2.63 |
Where Virginia sits
The same service costs 5.0 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
$15.14
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.