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 $16.98 Median $16.98 Typical High $29.51 | Facility | None | $16.98 | $16.98 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $29.51 Typical High $40.74 | Professional | None | $16.98 | $29.51 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.98 Median $19.95 Typical High $25.12 | Professional | None | $16.98 | $19.95 | $25.12 |
CareFirst Setting Professional Modifier None Typical Low $17.38 Median $19.05 Typical High $23.99 | Professional | None | $17.38 | $19.05 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $20.42 Typical High $43.65 | Professional | None | $17.78 | $20.42 | $43.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.22 Median $19.05 Typical High $33.11 | Professional | None | $16.22 | $19.05 | $33.11 |
Medcost Setting Professional Modifier None Typical Low $32.36 Median $40.74 Typical High $40.74 | Professional | None | $32.36 | $40.74 | $40.74 |
Medcost Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $47.86 | Facility | None | $41.69 | $41.69 | $47.86 |
Medcost Setting Professional Modifier None Typical Low $46.77 Median $58.88 Typical High $58.88 | Professional | None | $46.77 | $58.88 | $58.88 |
Sentara Setting Facility Modifier None Typical Low $19.05 Median $38.90 Typical High $10,232.93 | Facility | None | $19.05 | $38.90 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $18.62 Median $29.51 Typical High $43.65 | Professional | None | $18.62 | $29.51 | $43.65 |
United Setting Professional Modifier None Typical Low $20.42 Median $28.18 Typical High $46.77 | Professional | None | $20.42 | $28.18 | $46.77 |
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 $8.51 Median $11.75 Typical High $14.79 | Professional | 52 · Reduced service | $8.51 | $11.75 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $4.68 Typical High $5.89 | Professional | 53 · Discontinued | $3.39 | $4.68 | $5.89 |
Where Virginia sits
The same service costs 2.6 times more in Minnesota than in Pennsylvania. 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
$21.38
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.