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 $7.59 Median $11.22 Typical High $26.30 | Facility | None | $7.59 | $11.22 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $15.49 Typical High $21.38 | Professional | None | $7.59 | $15.49 | $21.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.59 Median $16.98 Typical High $25.70 | Professional | None | $7.59 | $16.98 | $25.70 |
CareFirst Setting Professional Modifier None Typical Low $7.59 Median $8.51 Typical High $9.55 | Professional | None | $7.59 | $8.51 | $9.55 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $19.50 Typical High $26.92 | Professional | None | $8.13 | $19.50 | $26.92 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $32.36 | Professional | None | $21.38 | $25.12 | $32.36 |
Medcost Setting Professional Modifier None Typical Low $33.11 Median $38.02 Typical High $38.02 | Professional | None | $33.11 | $38.02 | $38.02 |
Medcost Setting Facility Modifier None Typical Low $11.48 Median $15.49 Typical High $36.31 | Facility | None | $11.48 | $15.49 | $36.31 |
Medcost Setting Professional Modifier None Typical Low $21.88 Median $24.55 Typical High $24.55 | Professional | None | $21.88 | $24.55 | $24.55 |
Sentara Setting Facility Modifier None Typical Low $6.17 Median $11.48 Typical High $10,232.93 | Facility | None | $6.17 | $11.48 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $18.20 Median $22.39 Typical High $30.90 | Professional | None | $18.20 | $22.39 | $30.90 |
United Setting Professional Modifier None Typical Low $6.92 Median $15.85 Typical High $30.20 | Professional | None | $6.92 | $15.85 | $30.20 |
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 $3.80 Median $7.76 Typical High $10.72 | Professional | 52 · Reduced service | $3.80 | $7.76 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $3.16 Typical High $4.27 | Professional | 53 · Discontinued | $1.51 | $3.16 | $4.27 |
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· 44th of 51
$15.49
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.