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 $25.12 Median $48.98 Typical High $70.79 | Facility | None | $25.12 | $48.98 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $38.90 | Professional | None | $19.95 | $19.95 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $131.83 | Facility | None | $26.92 | $26.92 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $25.12 | Professional | None | $15.14 | $15.14 | $25.12 |
CareFirst Setting Professional Modifier None Typical Low $19.05 Median $21.38 Typical High $25.12 | Professional | None | $19.05 | $21.38 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $63.10 Typical High $104.71 | Facility | None | $26.92 | $63.10 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $22.39 Typical High $60.26 | Professional | None | $15.85 | $22.39 | $60.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.12 Median $29.51 Typical High $37.15 | Professional | None | $25.12 | $29.51 | $37.15 |
Medcost Setting Facility Modifier None Typical Low $52.48 Median $53.70 Typical High $53.70 | Facility | None | $52.48 | $53.70 | $53.70 |
Medcost Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $48.98 | Professional | None | $21.38 | $21.38 | $48.98 |
Sentara Setting Facility Modifier None Typical Low $25.70 Median $41.69 Typical High $10,232.93 | Facility | None | $25.70 | $41.69 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $26.92 Median $37.15 Typical High $50.12 | Professional | None | $26.92 | $37.15 | $50.12 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $15.85 Median $26.92 Typical High $58.88 | Professional | None | $15.85 | $26.92 | $58.88 |
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 $10.00 Median $10.00 Typical High $12.59 | Professional | 52 · Reduced service | $10.00 | $10.00 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $5.01 | Professional | 53 · Discontinued | $3.98 | $3.98 | $5.01 |
Where Virginia sits
The same service costs 4.5 times more in Alaska than in Maryland. 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· 40th of 51
$26.92
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.