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 $22.39 Median $22.39 Typical High $25.70 | Facility | None | $22.39 | $22.39 | $25.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $22.39 Typical High $25.70 | Professional | None (both parts) | $20.42 | $22.39 | $25.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $22.39 Typical High $22.39 | Professional | 26 · Professional part | $7.08 | $22.39 | $22.39 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $35.48 Typical High $43.65 | Professional | None (both parts) | $32.36 | $35.48 | $43.65 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $33.88 Median $38.02 Typical High $44.67 | Professional | None (both parts) | $33.88 | $38.02 | $44.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.99 Median $28.18 Typical High $35.48 | Professional | None | $23.99 | $28.18 | $35.48 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.55 Typical High $12.02 | Professional | 26 · Professional part | $8.71 | $9.55 | $12.02 |
Medcost Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $38.90 | Facility | None | $30.90 | $30.90 | $38.90 |
Medcost Setting Professional Modifier None (both parts) Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None (both parts) | $20.89 | $20.89 | $20.89 |
Sentara Setting Facility Modifier None Typical Low $8.71 Median $20.42 Typical High $64.57 | Facility | None | $8.71 | $20.42 | $64.57 |
Sentara Setting Professional Modifier None (both parts) Typical Low $10.96 Median $24.55 Typical High $44.67 | Professional | None (both parts) | $10.96 | $24.55 | $44.67 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.91 Typical High $24.55 | Professional | 26 · Professional part | $8.71 | $8.91 | $24.55 |
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 |
|---|---|---|---|---|---|
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $18.62 Typical High $22.91 | Professional | TC · Technical part | $15.49 | $18.62 | $22.91 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $16.60 Typical High $30.90 | Professional | TC · Technical part | $15.85 | $16.60 | $30.90 |
Where Virginia sits
The same service costs 20.9 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· 28th of 51
$32.36
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.