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 $12.30 Median $16.60 Typical High $20.89 | Facility | None | $12.30 | $16.60 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $16.60 Typical High $19.05 | Professional | None | $12.59 | $16.60 | $19.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $13.49 Typical High $16.98 | Professional | None | $11.22 | $13.49 | $16.98 |
CareFirst Setting Professional Modifier None Typical Low $12.02 Median $13.49 Typical High $16.22 | Professional | None | $12.02 | $13.49 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $46.77 Typical High $93.33 | Facility | None | $45.71 | $46.77 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $14.45 Typical High $24.55 | Professional | None | $11.22 | $14.45 | $24.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.48 Median $13.80 Typical High $17.38 | Professional | None | $11.48 | $13.80 | $17.38 |
Medcost Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Medcost Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Medcost Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $14.13 | Professional | None | $13.80 | $13.80 | $14.13 |
Sentara Setting Facility Modifier None Typical Low $10.96 Median $19.50 Typical High $10,232.93 | Facility | None | $10.96 | $19.50 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $10.72 Median $16.98 Typical High $24.55 | Professional | None | $10.72 | $16.98 | $24.55 |
United Setting Facility Modifier None Typical Low $70.79 Median $77.62 Typical High $173.78 | Facility | None | $70.79 | $77.62 | $173.78 |
United Setting Professional Modifier None Typical Low $12.88 Median $16.98 Typical High $29.51 | Professional | None | $12.88 | $16.98 | $29.51 |
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 $6.17 Median $8.32 Typical High $8.32 | Professional | 52 · Reduced service | $6.17 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $3.39 Typical High $3.39 | Professional | 53 · Discontinued | $2.51 | $3.39 | $3.39 |
Where Virginia sits
The same service costs 3.0 times more in Minnesota than in Kentucky. 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· 41st of 51
$14.13
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.