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 $7.24 Median $8.32 Typical High $22.91 | Facility | None | $7.24 | $8.32 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $8.32 Typical High $13.18 | Professional | None | $7.24 | $8.32 | $13.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $47.86 | Facility | None | $9.77 | $9.77 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.89 Median $5.75 Typical High $7.41 | Professional | None | $3.89 | $5.75 | $7.41 |
CareFirst Setting Professional Modifier None Typical Low $10.00 Median $11.75 Typical High $11.75 | Professional | None | $10.00 | $11.75 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $19.05 Typical High $29.51 | Facility | None | $10.00 | $19.05 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $5.75 Typical High $10.23 | Professional | None | $5.50 | $5.75 | $10.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.77 Median $11.75 Typical High $14.45 | Professional | None | $9.77 | $11.75 | $14.45 |
Medcost Setting Professional Modifier None Typical Low $5.89 Median $10.00 Typical High $14.13 | Professional | None | $5.89 | $10.00 | $14.13 |
Medcost Setting Facility Modifier None Typical Low $7.41 Median $8.51 Typical High $17.38 | Facility | None | $7.41 | $8.51 | $17.38 |
Medcost Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
Sentara Setting Facility Modifier None Typical Low $7.08 Median $11.22 Typical High $4,570.88 | Facility | None | $7.08 | $11.22 | $4,570.88 |
Sentara Setting Professional Modifier None Typical Low $7.08 Median $11.22 Typical High $4,570.88 | Professional | None | $7.08 | $11.22 | $4,570.88 |
United Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
United Setting Professional Modifier None Typical Low $5.89 Median $6.31 Typical High $10.00 | Professional | None | $5.89 | $6.31 | $10.00 |
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 $3.63 Median $4.17 Typical High $4.37 | Professional | 52 · Reduced service | $3.63 | $4.17 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.66 Typical High $1.74 | Professional | 53 · Discontinued | $1.45 | $1.66 | $1.74 |
Where Virginia sits
The same service costs 2.3 times more in Alaska than in Florida. 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· 38th of 51
$8.32
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.