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 $39.81 Median $107.15 Typical High $107.15 | Facility | None | $39.81 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $38.02 Typical High $39.81 | Professional | None | $22.91 | $38.02 | $39.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $229.09 | Facility | None | $46.77 | $46.77 | $229.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.62 Median $31.62 Typical High $33.88 | Professional | None | $18.62 | $31.62 | $33.88 |
CareFirst Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $77.62 Typical High $117.49 | Facility | None | $33.88 | $77.62 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $47.86 | Professional | None | $24.55 | $24.55 | $47.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $56.23 Typical High $69.18 | Professional | None | $46.77 | $56.23 | $69.18 |
Medcost Setting Facility Modifier None Typical Low $33.88 Median $39.81 Typical High $83.18 | Facility | None | $33.88 | $39.81 | $83.18 |
Medcost Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Sentara Setting Facility Modifier None Typical Low $30.20 Median $57.54 Typical High $10,232.93 | Facility | None | $30.20 | $57.54 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $30.20 Median $57.54 Typical High $10,232.93 | Professional | None | $30.20 | $57.54 | $10,232.93 |
United Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
United Setting Professional Modifier None Typical Low $8.13 Median $19.50 Typical High $27.54 | Professional | None | $8.13 | $19.50 | $27.54 |
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 $17.38 Median $19.50 Typical High $20.42 | Professional | 52 · Reduced service | $17.38 | $19.50 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.94 Typical High $8.32 | Professional | 53 · Discontinued | $6.92 | $7.94 | $8.32 |
Where Virginia sits
The same service costs 4.9 times more in Alaska than in Kentucky. 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
$34.67
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.