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 $12.88 Median $12.88 Typical High $34.67 | Facility | None | $12.88 | $12.88 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $12.88 Typical High $21.38 | Professional | None | $11.48 | $12.88 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $74.13 | Facility | None | $18.62 | $18.62 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $10.00 Typical High $12.88 | Professional | None | $5.89 | $10.00 | $12.88 |
CareFirst Setting Professional Modifier None Typical Low $6.03 Median $14.45 Typical High $14.45 | Professional | None | $6.03 | $14.45 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $19.50 Typical High $42.66 | Facility | None | $11.22 | $19.50 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $8.91 Typical High $18.62 | Professional | None | $7.59 | $8.91 | $18.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.62 Median $22.39 Typical High $27.54 | Professional | None | $18.62 | $22.39 | $27.54 |
Medcost Setting Professional Modifier None Typical Low $3.55 Median $6.03 Typical High $8.32 | Professional | None | $3.55 | $6.03 | $8.32 |
Medcost Setting Facility Modifier None Typical Low $11.22 Median $13.80 Typical High $21.88 | Facility | None | $11.22 | $13.80 | $21.88 |
Medcost Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Sentara Setting Facility Modifier None Typical Low $5.89 Median $16.60 Typical High $69.18 | Facility | None | $5.89 | $16.60 | $69.18 |
Sentara Setting Professional Modifier None Typical Low $6.03 Median $16.60 Typical High $4,570.88 | Professional | None | $6.03 | $16.60 | $4,570.88 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $3.55 Median $8.51 Typical High $15.14 | Professional | None | $3.55 | $8.51 | $15.14 |
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 $6.31 Median $6.31 Typical High $6.92 | Professional | 52 · Reduced service | $6.31 | $6.31 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $2.82 | Professional | 53 · Discontinued | $2.51 | $2.51 | $2.82 |
Where Virginia sits
The same service costs 4.8 times more in Montana 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· 31st of 51
$12.30
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.