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 $21.88 Median $31.62 Typical High $67.61 | Facility | None | $21.88 | $31.62 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $41.69 Typical High $53.70 | Professional | None | $21.88 | $41.69 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $42.66 Typical High $64.57 | Professional | None | $21.88 | $42.66 | $64.57 |
CareFirst Setting Professional Modifier None Typical Low $21.88 Median $24.55 Typical High $27.54 | Professional | None | $21.88 | $24.55 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $48.98 Typical High $69.18 | Professional | None | $22.91 | $48.98 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $79.43 | Professional | None | $53.70 | $63.10 | $79.43 |
Medcost Setting Professional Modifier None Typical Low $91.20 Median $95.50 Typical High $95.50 | Professional | None | $91.20 | $95.50 | $95.50 |
Medcost Setting Facility Modifier None Typical Low $32.36 Median $43.65 Typical High $93.33 | Facility | None | $32.36 | $43.65 | $93.33 |
Medcost Setting Professional Modifier None Typical Low $56.23 Median $66.07 Typical High $66.07 | Professional | None | $56.23 | $66.07 | $66.07 |
Sentara Setting Facility Modifier None Typical Low $18.20 Median $32.36 Typical High $10,232.93 | Facility | None | $18.20 | $32.36 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $46.77 Median $57.54 Typical High $77.62 | Professional | None | $46.77 | $57.54 | $77.62 |
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 $19.50 Median $40.74 Typical High $75.86 | Professional | None | $19.50 | $40.74 | $75.86 |
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 $10.96 Median $16.98 Typical High $26.92 | Professional | 52 · Reduced service | $10.96 | $16.98 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $7.94 Typical High $10.96 | Professional | 53 · Discontinued | $4.37 | $7.94 | $10.96 |
Where Virginia sits
The same service costs 3.7 times more in Alaska than in Washington, DC. 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· 43rd of 51
$40.74
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.