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 $19.50 Median $22.39 Typical High $61.66 | Facility | None | $19.50 | $22.39 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $22.39 | Professional | None | $19.50 | $19.50 | $22.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $128.82 | Facility | None | $15.85 | $15.85 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $21.38 | Professional | None | $12.88 | $12.88 | $21.38 |
CareFirst Setting Professional Modifier None Typical Low $15.14 Median $21.38 Typical High $25.12 | Professional | None | $15.14 | $21.38 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $63.10 Typical High $89.13 | Facility | None | $26.92 | $63.10 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $25.70 Typical High $75.86 | Professional | None | $19.50 | $25.70 | $75.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.12 Median $28.84 Typical High $36.31 | Professional | None | $25.12 | $28.84 | $36.31 |
Medcost Setting Facility Modifier None Typical Low $46.77 Median $72.44 Typical High $72.44 | Facility | None | $46.77 | $72.44 | $72.44 |
Medcost Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $54.95 | Professional | None | $18.20 | $18.20 | $54.95 |
Sentara Setting Facility Modifier None Typical Low $16.98 Median $33.11 Typical High $117.49 | Facility | None | $16.98 | $33.11 | $117.49 |
Sentara Setting Professional Modifier None Typical Low $25.12 Median $38.90 Typical High $53.70 | Professional | None | $25.12 | $38.90 | $53.70 |
United Setting Professional Modifier None Typical Low $15.85 Median $25.70 Typical High $52.48 | Professional | None | $15.85 | $25.70 | $52.48 |
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 $9.77 Median $9.77 Typical High $11.22 | Professional | 52 · Reduced service | $9.77 | $9.77 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $4.47 | Professional | 53 · Discontinued | $3.89 | $3.89 | $4.47 |
Where Virginia sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 46th of 51
$23.44
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.