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 $21.38 Median $21.38 Typical High $26.92 | Facility | None | $21.38 | $21.38 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $26.92 Typical High $33.11 | Professional | None | $21.38 | $26.92 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $31.62 | Professional | None | $21.38 | $25.12 | $31.62 |
CareFirst Setting Professional Modifier None Typical Low $21.38 Median $23.99 Typical High $28.84 | Professional | None | $21.38 | $23.99 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $25.70 Typical High $41.69 | Professional | None | $22.39 | $25.70 | $41.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.89 Median $24.55 Typical High $33.11 | Professional | None | $20.89 | $24.55 | $33.11 |
Medcost Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Medcost Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Medcost Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.89 | Professional | None | $20.42 | $20.42 | $20.89 |
Sentara Setting Facility Modifier None Typical Low $19.95 Median $31.62 Typical High $10,232.93 | Facility | None | $19.95 | $31.62 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $17.38 Median $27.54 Typical High $39.81 | Professional | None | $17.38 | $27.54 | $39.81 |
United Setting Professional Modifier None Typical Low $19.95 Median $26.92 Typical High $44.67 | Professional | None | $19.95 | $26.92 | $44.67 |
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 $10.72 Median $13.49 Typical High $13.49 | Professional | 52 · Reduced service | $10.72 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $5.37 Typical High $5.37 | Professional | 53 · Discontinued | $4.37 | $5.37 | $5.37 |
Where Virginia sits
The same service costs 2.8 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· 39th of 51
$25.12
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.