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 $18.20 Median $22.91 Typical High $61.66 | Facility | None | $18.20 | $22.91 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $19.95 Typical High $22.91 | Professional | None | $17.78 | $19.95 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $117.49 | Facility | None | $23.99 | $23.99 | $117.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.02 Median $14.45 Typical High $18.62 | Professional | None | $12.02 | $14.45 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $39.81 Typical High $61.66 | Facility | None | $22.39 | $39.81 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $25.12 | Professional | None | $12.88 | $12.88 | $25.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.99 Median $28.84 Typical High $35.48 | Professional | None | $23.99 | $28.84 | $35.48 |
Medcost Setting Facility Modifier None Typical Low $18.20 Median $22.91 Typical High $44.67 | Facility | None | $18.20 | $22.91 | $44.67 |
Medcost Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Sentara Setting Facility Modifier None Typical Low $16.98 Median $33.88 Typical High $10,232.93 | Facility | None | $16.98 | $33.88 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $16.98 Median $33.88 Typical High $10,232.93 | Professional | None | $16.98 | $33.88 | $10,232.93 |
United Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
United Setting Professional Modifier None Typical Low $10.00 Median $13.80 Typical High $24.55 | Professional | None | $10.00 | $13.80 | $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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $10.96 Typical High $11.48 | Professional | 52 · Reduced service | $9.12 | $10.96 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $4.47 Typical High $4.57 | Professional | 53 · Discontinued | $3.63 | $4.47 | $4.57 |
Where Virginia sits
The same service costs 3.6 times more in Hawaii than in Maryland. 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· 43rd of 51
$18.20
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.