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 $28.84 Typical High $31.62 | Facility | None | $22.91 | $28.84 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $26.92 Typical High $31.62 | Professional | None | $22.39 | $26.92 | $31.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.20 Median $37.15 Typical High $41.69 | Professional | None | $30.20 | $37.15 | $41.69 |
CareFirst Setting Professional Modifier None Typical Low $27.54 Median $29.51 Typical High $29.51 | Professional | None | $27.54 | $29.51 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $33.11 Typical High $56.23 | Professional | None | $26.92 | $33.11 | $56.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.12 Median $31.62 Typical High $46.77 | Professional | None | $25.12 | $31.62 | $46.77 |
Medcost Setting Professional Modifier None Typical Low $28.18 Median $38.90 Typical High $51.29 | Professional | None | $28.18 | $38.90 | $51.29 |
Medcost Setting Facility Modifier None Typical Low $26.92 Median $31.62 Typical High $60.26 | Facility | None | $26.92 | $31.62 | $60.26 |
Medcost Setting Professional Modifier None Typical Low $22.91 Median $26.92 Typical High $37.15 | Professional | None | $22.91 | $26.92 | $37.15 |
Sentara Setting Facility Modifier None Typical Low $27.54 Median $46.77 Typical High $7,413.10 | Facility | None | $27.54 | $46.77 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $46.77 | Professional | None | $31.62 | $31.62 | $46.77 |
United Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $36.31 | Professional | None | $26.30 | $26.30 | $36.31 |
6 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 Facility Modifier AF · Specialist physician Typical Low $29.51 Median $31.62 Typical High $35.48 | Facility | AF · Specialist physician | $29.51 | $31.62 | $35.48 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $22.39 Median $23.99 Typical High $26.92 | Facility | HO · Master's level | $22.39 | $23.99 | $26.92 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $25.12 Median $26.92 Typical High $30.20 | Facility | TD · Registered nurse | $25.12 | $26.92 | $30.20 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $29.51 Median $30.90 Typical High $33.88 | Professional | AF · Specialist physician | $29.51 | $30.90 | $33.88 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $22.39 Median $22.91 Typical High $25.70 | Professional | HO · Master's level | $22.39 | $22.91 | $25.70 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $25.12 Median $26.30 Typical High $28.84 | Professional | TD · Registered nurse | $25.12 | $26.30 | $28.84 |
Where Virginia sits
The same service costs 2.3 times more in Alaska than in Arizona. 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· 25th of 51
$31.62
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.