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 $26.92 Typical High $38.02 | Facility | None | $22.91 | $26.92 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $26.92 Typical High $33.11 | Professional | None | $22.91 | $26.92 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $32.36 Typical High $39.81 | Professional | None | $27.54 | $32.36 | $39.81 |
CareFirst Setting Professional Modifier None Typical Low $25.70 Median $28.84 Typical High $33.11 | Professional | None | $25.70 | $28.84 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $28.84 Typical High $50.12 | Professional | None | $25.12 | $28.84 | $50.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.18 Median $35.48 Typical High $46.77 | Professional | None | $28.18 | $35.48 | $46.77 |
Medcost Setting Facility Modifier None Typical Low $25.70 Median $43.65 Typical High $47.86 | Facility | None | $25.70 | $43.65 | $47.86 |
Medcost Setting Professional Modifier None Typical Low $24.55 Median $27.54 Typical High $34.67 | Professional | None | $24.55 | $27.54 | $34.67 |
Sentara Setting Facility Modifier None Typical Low $28.18 Median $38.90 Typical High $165.96 | Facility | None | $28.18 | $38.90 | $165.96 |
Sentara Setting Professional Modifier None Typical Low $27.54 Median $33.88 Typical High $46.77 | Professional | None | $27.54 | $33.88 | $46.77 |
United Setting Professional Modifier None Typical Low $24.55 Median $30.20 Typical High $52.48 | Professional | None | $24.55 | $30.20 | $52.48 |
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 52 · Reduced service Typical Low $14.45 Median $15.85 Typical High $16.60 | Professional | 52 · Reduced service | $14.45 | $15.85 | $16.60 |
Where Virginia sits
The same service costs 2.5 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· 33rd of 51
$30.20
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.