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 $30.20 Median $34.67 Typical High $69.18 | Facility | None | $30.20 | $34.67 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $34.67 Typical High $34.67 | Professional | None | $30.20 | $34.67 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $34.67 Typical High $41.69 | Professional | None | $28.84 | $34.67 | $41.69 |
CareFirst Setting Professional Modifier None Typical Low $30.90 Median $34.67 Typical High $38.90 | Professional | None | $30.90 | $34.67 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $36.31 Typical High $60.26 | Professional | None | $28.84 | $36.31 | $60.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $24.55 Median $28.84 Typical High $36.31 | Professional | None | $24.55 | $28.84 | $36.31 |
Medcost Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Medcost Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $60.26 | Facility | None | $43.65 | $43.65 | $60.26 |
Medcost Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $56.23 | Professional | None | $25.12 | $25.12 | $56.23 |
Sentara Setting Facility Modifier None Typical Low $23.44 Median $42.66 Typical High $10,232.93 | Facility | None | $23.44 | $42.66 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $31.62 Median $40.74 Typical High $74.13 | Professional | None | $31.62 | $40.74 | $74.13 |
United Setting Professional Modifier None Typical Low $26.92 Median $39.81 Typical High $66.07 | Professional | None | $26.92 | $39.81 | $66.07 |
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 $15.14 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $15.14 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $6.03 | $6.92 | $6.92 |
Where Virginia sits
The same service costs 3.0 times more in Alaska than in New York. 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· 35th of 51
$34.67
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.