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 $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None (both parts) | $10.00 | $10.00 | $10.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $26.30 Median $30.20 Typical High $33.11 | Professional | None (both parts) | $26.30 | $30.20 | $33.11 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $40.74 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $40.74 | $44.67 | $44.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $83.18 | Professional | None | $28.84 | $28.84 | $83.18 |
Medcost Setting Facility Modifier None Typical Low $10.00 Median $10.23 Typical High $15.14 | Facility | None | $10.00 | $10.23 | $15.14 |
Sentara Setting Facility Modifier None Typical Low $51.29 Median $69.18 Typical High $10,232.93 | Facility | None | $51.29 | $69.18 | $10,232.93 |
Sentara Setting Professional Modifier None (both parts) Typical Low $63.10 Median $69.18 Typical High $87.10 | Professional | None (both parts) | $63.10 | $69.18 | $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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Where Virginia sits
The same service costs 10.2 times more in Arizona 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· 24th of 50
$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.