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 $28.18 Median $31.62 Typical High $40.74 | Facility | None | $28.18 | $31.62 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $36.31 Typical High $40.74 | Professional | None | $28.18 | $36.31 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $37.15 Typical High $47.86 | Professional | None | $28.84 | $37.15 | $47.86 |
CareFirst Setting Professional Modifier None Typical Low $30.90 Median $34.67 Typical High $39.81 | Professional | None | $30.90 | $34.67 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $34.67 Typical High $53.70 | Professional | None | $25.12 | $34.67 | $53.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $37.15 Median $45.71 Typical High $60.26 | Professional | None | $37.15 | $45.71 | $60.26 |
Medcost Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Medcost Setting Facility Modifier None Typical Low $25.70 Median $42.66 Typical High $57.54 | Facility | None | $25.70 | $42.66 | $57.54 |
Medcost Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $46.77 | Professional | None | $30.90 | $36.31 | $46.77 |
Sentara Setting Facility Modifier None Typical Low $29.51 Median $39.81 Typical High $208.93 | Facility | None | $29.51 | $39.81 | $208.93 |
Sentara Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $60.26 | Professional | None | $39.81 | $46.77 | $60.26 |
United Setting Professional Modifier None Typical Low $25.12 Median $33.88 Typical High $57.54 | Professional | None | $25.12 | $33.88 | $57.54 |
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 $14.13 Median $15.85 Typical High $20.42 | Professional | 52 · Reduced service | $14.13 | $15.85 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.31 Typical High $8.13 | Professional | 53 · Discontinued | $5.62 | $6.31 | $8.13 |
Where Virginia sits
The same service costs 2.4 times more in Alaska than in New Jersey. 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· 34th of 51
$36.31
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.