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 $51.29 Median $51.29 Typical High $141.25 | Facility | None | $51.29 | $51.29 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $77.62 | Professional | None (both parts) | $51.29 | $51.29 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $251.19 Typical High $316.23 | Facility | None | $194.98 | $251.19 | $316.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $35.48 Median $51.29 Typical High $69.18 | Professional | None (both parts) | $35.48 | $51.29 | $69.18 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $51.29 | Professional | None (both parts) | $40.74 | $40.74 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $81.28 Typical High $123.03 | Facility | None | $52.48 | $81.28 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $51.29 | $51.29 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $48.98 Median $56.23 Typical High $72.44 | Professional | None | $48.98 | $56.23 | $72.44 |
Medcost Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Medcost Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $100.00 | Professional | None (both parts) | $51.29 | $51.29 | $100.00 |
Sentara Setting Facility Modifier None Typical Low $36.31 Median $58.88 Typical High $123.03 | Facility | None | $36.31 | $58.88 | $123.03 |
Sentara Setting Professional Modifier None (both parts) Typical Low $45.71 Median $56.23 Typical High $100.00 | Professional | None (both parts) | $45.71 | $56.23 | $100.00 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
United Setting Professional Modifier None (both parts) Typical Low $21.38 Median $30.90 Typical High $70.79 | Professional | None (both parts) | $21.38 | $30.90 | $70.79 |
4 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 $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Sentara Setting Professional Modifier QW · Waived lab test Typical Low $51.29 Median $51.29 Typical High $95.50 | Professional | QW · Waived lab test | $51.29 | $51.29 | $95.50 |
Where Virginia sits
The same service costs 3.1 times more in Alaska than in Maine. 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· 40th of 51
$51.29
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.