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 $18.62 Median $21.38 Typical High $58.88 | Facility | None | $18.62 | $21.38 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $21.38 Typical High $22.39 | Professional | None | $18.62 | $21.38 | $22.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $123.03 | Facility | None | $25.12 | $25.12 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $14.13 Typical High $18.20 | Professional | None | $10.00 | $14.13 | $18.20 |
CareFirst Setting Professional Modifier None Typical Low $13.80 Median $23.99 Typical High $23.99 | Professional | None | $13.80 | $23.99 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $38.90 Typical High $61.66 | Facility | None | $25.70 | $38.90 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $14.79 Typical High $25.70 | Professional | None | $12.88 | $14.79 | $25.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.12 Median $30.20 Typical High $37.15 | Professional | None | $25.12 | $30.20 | $37.15 |
Medcost Setting Professional Modifier None Typical Low $8.13 Median $13.80 Typical High $19.50 | Professional | None | $8.13 | $13.80 | $19.50 |
Medcost Setting Facility Modifier None Typical Low $14.13 Median $20.42 Typical High $31.62 | Facility | None | $14.13 | $20.42 | $31.62 |
Medcost Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Sentara Setting Facility Modifier None Typical Low $13.80 Median $22.39 Typical High $4,570.88 | Facility | None | $13.80 | $22.39 | $4,570.88 |
Sentara Setting Professional Modifier None Typical Low $13.80 Median $22.39 Typical High $4,570.88 | Professional | None | $13.80 | $22.39 | $4,570.88 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $8.32 Median $15.14 Typical High $25.12 | Professional | None | $8.32 | $15.14 | $25.12 |
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 $9.33 Median $10.72 Typical High $11.22 | Professional | 52 · Reduced service | $9.33 | $10.72 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $4.27 Typical High $4.47 | Professional | 53 · Discontinued | $3.72 | $4.27 | $4.47 |
Where Virginia sits
The same service costs 2.7 times more in Montana than in Georgia. 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· 37th of 51
$17.38
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.