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 $22.39 Median $22.39 Typical High $26.92 | Facility | None | $22.39 | $22.39 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $23.99 Typical High $26.92 | Professional | None | $22.39 | $23.99 | $26.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.39 Median $26.92 Typical High $31.62 | Professional | None | $22.39 | $26.92 | $31.62 |
CareFirst Setting Professional Modifier None Typical Low $22.91 Median $25.70 Typical High $28.84 | Professional | None | $22.91 | $25.70 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $24.55 Typical High $38.02 | Professional | None | $23.44 | $24.55 | $38.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.99 Median $26.92 Typical High $36.31 | Professional | None | $23.99 | $26.92 | $36.31 |
Medcost Setting Professional Modifier None Typical Low $31.62 Median $38.90 Typical High $39.81 | Professional | None | $31.62 | $38.90 | $39.81 |
Medcost Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $46.77 | Facility | None | $36.31 | $36.31 | $46.77 |
Medcost Setting Professional Modifier None Typical Low $26.30 Median $34.67 Typical High $37.15 | Professional | None | $26.30 | $34.67 | $37.15 |
Sentara Setting Facility Modifier None Typical Low $21.88 Median $33.11 Typical High $10,232.93 | Facility | None | $21.88 | $33.11 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $22.39 Median $27.54 Typical High $38.02 | Professional | None | $22.39 | $27.54 | $38.02 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
United Setting Professional Modifier None Typical Low $19.05 Median $23.44 Typical High $39.81 | Professional | None | $19.05 | $23.44 | $39.81 |
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 $11.22 Median $12.02 Typical High $13.49 | Professional | 52 · Reduced service | $11.22 | $12.02 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.79 Typical High $5.37 | Professional | 53 · Discontinued | $4.47 | $4.79 | $5.37 |
Where Virginia sits
The same service costs 2.6 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· 42nd of 51
$25.70
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.