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 $19.50 Median $19.95 Typical High $33.88 | Facility | None | $19.50 | $19.95 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.95 Typical High $22.39 | Professional | None | $19.50 | $19.95 | $22.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.62 Median $22.39 Typical High $26.30 | Professional | None | $18.62 | $22.39 | $26.30 |
CareFirst Setting Professional Modifier None Typical Low $21.38 Median $23.44 Typical High $26.30 | Professional | None | $21.38 | $23.44 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $154.88 Typical High $338.84 | Facility | None | $151.36 | $154.88 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $21.88 Typical High $30.20 | Professional | None | $19.50 | $21.88 | $30.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.38 Median $24.55 Typical High $31.62 | Professional | None | $21.38 | $24.55 | $31.62 |
Medcost Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Medcost Setting Professional Modifier None Typical Low $17.38 Median $17.78 Typical High $20.89 | Professional | None | $17.38 | $17.78 | $20.89 |
Sentara Setting Facility Modifier None Typical Low $16.22 Median $26.30 Typical High $10,232.93 | Facility | None | $16.22 | $26.30 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $17.78 Median $21.88 Typical High $29.51 | Professional | None | $17.78 | $21.88 | $29.51 |
United Setting Facility Modifier None Typical Low $251.19 Median $275.42 Typical High $616.60 | Facility | None | $251.19 | $275.42 | $616.60 |
United Setting Professional Modifier None Typical Low $15.85 Median $19.50 Typical High $33.88 | Professional | None | $15.85 | $19.50 | $33.88 |
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 $9.77 Median $9.77 Typical High $10.00 | Professional | 52 · Reduced service | $9.77 | $9.77 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $4.07 | Professional | 53 · Discontinued | $3.98 | $3.98 | $4.07 |
Where Virginia sits
The same service costs 2.3 times more in Minnesota 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· 26th of 51
$21.88
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.