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 $9.33 Median $11.48 Typical High $30.90 | Facility | None | $9.33 | $11.48 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $11.48 Typical High $16.22 | Professional | None | $9.33 | $11.48 | $16.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $60.26 | Facility | None | $12.30 | $12.30 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $7.41 Typical High $9.33 | Professional | None | $5.89 | $7.41 | $9.33 |
CareFirst Setting Professional Modifier None Typical Low $8.91 Median $9.77 Typical High $16.98 | Professional | None | $8.91 | $9.77 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $29.51 Typical High $47.86 | Facility | None | $12.59 | $29.51 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $9.33 Typical High $17.38 | Professional | None | $6.61 | $9.33 | $17.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.30 Median $14.79 Typical High $18.20 | Professional | None | $12.30 | $14.79 | $18.20 |
Medcost Setting Professional Modifier None Typical Low $10.00 Median $20.42 Typical High $23.44 | Professional | None | $10.00 | $20.42 | $23.44 |
Medcost Setting Facility Modifier None Typical Low $10.00 Median $12.30 Typical High $24.55 | Facility | None | $10.00 | $12.30 | $24.55 |
Medcost Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Sentara Setting Facility Modifier None Typical Low $10.96 Median $18.20 Typical High $7,413.10 | Facility | None | $10.96 | $18.20 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $10.96 Median $18.20 Typical High $7,413.10 | Professional | None | $10.96 | $18.20 | $7,413.10 |
United Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $60.26 | Facility | None | $14.79 | $14.79 | $60.26 |
United Setting Professional Modifier None Typical Low $7.41 Median $10.23 Typical High $16.98 | Professional | None | $7.41 | $10.23 | $16.98 |
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 $4.57 Median $5.62 Typical High $5.75 | Professional | 52 · Reduced service | $4.57 | $5.62 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $2.29 Typical High $2.29 | Professional | 53 · Discontinued | $1.86 | $2.29 | $2.29 |
Where Virginia sits
The same service costs 3.5 times more in Kansas than in Georgia. 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
$10.96
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.