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 $6.17 Median $15.14 Typical High $21.88 | Facility | None | $6.17 | $15.14 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $7.76 Typical High $19.95 | Professional | None | $6.17 | $7.76 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $39.81 | Facility | None | $8.13 | $8.13 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $4.90 Typical High $6.31 | Professional | None | $4.07 | $4.90 | $6.31 |
CareFirst Setting Professional Modifier None Typical Low $5.89 Median $6.61 Typical High $11.48 | Professional | None | $5.89 | $6.61 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $19.50 Typical High $32.36 | Facility | None | $8.32 | $19.50 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $6.31 Typical High $11.75 | Professional | None | $4.47 | $6.31 | $11.75 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.13 Median $9.77 Typical High $12.02 | Professional | None | $8.13 | $9.77 | $12.02 |
Medcost Setting Professional Modifier None Typical Low $6.76 Median $13.80 Typical High $15.85 | Professional | None | $6.76 | $13.80 | $15.85 |
Medcost Setting Facility Modifier None Typical Low $6.76 Median $7.76 Typical High $16.60 | Facility | None | $6.76 | $7.76 | $16.60 |
Medcost Setting Professional Modifier None Typical Low $3.98 Median $7.08 Typical High $7.08 | Professional | None | $3.98 | $7.08 | $7.08 |
Sentara Setting Facility Modifier None Typical Low $7.24 Median $12.30 Typical High $10,232.93 | Facility | None | $7.24 | $12.30 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $7.24 Median $12.30 Typical High $10,232.93 | Professional | None | $7.24 | $12.30 | $10,232.93 |
United Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $31.62 | Facility | None | $9.77 | $9.77 | $31.62 |
United Setting Professional Modifier None Typical Low $4.90 Median $6.92 Typical High $11.48 | Professional | None | $4.90 | $6.92 | $11.48 |
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 $3.09 Median $3.80 Typical High $3.89 | Professional | 52 · Reduced service | $3.09 | $3.80 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.51 Typical High $1.55 | Professional | 53 · Discontinued | $1.23 | $1.51 | $1.55 |
Where Virginia sits
The same service costs 7.1 times more in Minnesota than in Maryland. 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· 43rd of 51
$7.41
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.