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 $11.75 Median $25.70 Typical High $87.10 | Facility | None | $11.75 | $25.70 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $38.90 Typical High $66.07 | Professional | None | $11.75 | $38.90 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $12.88 Typical High $15.85 | Professional | None | $11.22 | $12.88 | $15.85 |
CareFirst Setting Professional Modifier None Typical Low $12.02 Median $13.49 Typical High $15.85 | Professional | None | $12.02 | $13.49 | $15.85 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $41.69 Typical High $74.13 | Professional | None | $11.75 | $41.69 | $74.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.72 Median $58.88 Typical High $74.13 | Professional | None | $10.72 | $58.88 | $74.13 |
Medcost Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Medcost Setting Facility Modifier None Typical Low $16.60 Median $22.39 Typical High $91.20 | Facility | None | $16.60 | $22.39 | $91.20 |
Medcost Setting Professional Modifier None Typical Low $38.02 Median $57.54 Typical High $58.88 | Professional | None | $38.02 | $57.54 | $58.88 |
Sentara Setting Facility Modifier None Typical Low $9.33 Median $15.14 Typical High $56.23 | Facility | None | $9.33 | $15.14 | $56.23 |
Sentara Setting Professional Modifier None Typical Low $35.48 Median $58.88 Typical High $104.71 | Professional | None | $35.48 | $58.88 | $104.71 |
United Setting Professional Modifier None Typical Low $10.47 Median $33.11 Typical High $87.10 | Professional | None | $10.47 | $33.11 | $87.10 |
1 more rate 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 53 · Discontinued Typical Low $2.34 Median $4.27 Typical High $10.72 | Professional | 53 · Discontinued | $2.34 | $4.27 | $10.72 |
Where Virginia sits
The same service costs 6.8 times more in Minnesota than in Georgia. 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· 48th of 51
$14.45
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.