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 $22.91 Median $28.18 Typical High $33.11 | Facility | None | $22.91 | $28.18 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $25.12 Typical High $33.11 | Professional | None | $22.91 | $25.12 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.39 Median $26.92 Typical High $33.11 | Professional | None | $22.39 | $26.92 | $33.11 |
CareFirst Setting Professional Modifier None Typical Low $24.55 Median $27.54 Typical High $28.18 | Professional | None | $24.55 | $27.54 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $51.29 Typical High $58.88 | Facility | None | $28.84 | $51.29 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $25.12 Typical High $38.02 | Professional | None | $21.88 | $25.12 | $38.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.44 Median $29.51 Typical High $34.67 | Professional | None | $23.44 | $29.51 | $34.67 |
Medcost Setting Professional Modifier None Typical Low $22.39 Median $26.30 Typical High $26.30 | Professional | None | $22.39 | $26.30 | $26.30 |
Medcost Setting Facility Modifier None Typical Low $22.91 Median $26.92 Typical High $38.90 | Facility | None | $22.91 | $26.92 | $38.90 |
Medcost Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Sentara Setting Facility Modifier None Typical Low $16.22 Median $40.74 Typical High $7,413.10 | Facility | None | $16.22 | $40.74 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $16.22 Median $26.30 Typical High $89.13 | Professional | None | $16.22 | $26.30 | $89.13 |
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 $16.60 Median $22.91 Typical High $38.02 | Professional | None | $16.60 | $22.91 | $38.02 |
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 $11.48 Median $12.59 Typical High $12.59 | Professional | 52 · Reduced service | $11.48 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $5.01 Typical High $5.01 | Professional | 53 · Discontinued | $4.57 | $5.01 | $5.01 |
Where Virginia sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 31st of 51
$26.30
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.