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 $19.95 Median $19.95 Typical High $27.54 | Facility | None | $19.95 | $19.95 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $19.95 Typical High $27.54 | Professional | None | $18.20 | $19.95 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $83.18 Median $107.15 Typical High $134.90 | Facility | None | $83.18 | $107.15 | $134.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $33.88 | Professional | None | $23.44 | $23.44 | $33.88 |
CareFirst Setting Professional Modifier None Typical Low $19.95 Median $22.39 Typical High $26.30 | Professional | None | $19.95 | $22.39 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.30 Median $27.54 Typical High $34.67 | Professional | None | $26.30 | $27.54 | $34.67 |
Medcost Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $57.54 | Facility | None | $38.90 | $38.90 | $57.54 |
Medcost Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $22.91 | Professional | None | $14.45 | $14.45 | $22.91 |
Sentara Setting Facility Modifier None Typical Low $4.90 Median $16.60 Typical High $10,232.93 | Facility | None | $4.90 | $16.60 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $8.91 Median $50.12 Typical High $64.57 | Professional | None | $8.91 | $50.12 | $64.57 |
United Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
United Setting Professional Modifier None Typical Low $14.79 Median $28.18 Typical High $52.48 | Professional | None | $14.79 | $28.18 | $52.48 |
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 $10.00 Typical High $13.80 | Professional | 52 · Reduced service | $9.12 | $10.00 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.98 Typical High $5.50 | Professional | 53 · Discontinued | $3.63 | $3.98 | $5.50 |
Where Virginia sits
The same service costs 5.2 times more in Texas 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· 39th of 51
$23.44
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.