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 $12.59 Median $30.90 Typical High $44.67 | Facility | None | $12.59 | $30.90 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $15.85 Typical High $44.67 | Professional | None | $12.59 | $15.85 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $81.28 | Facility | None | $16.60 | $16.60 | $81.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $10.00 Typical High $12.88 | Professional | None | $8.32 | $10.00 | $12.88 |
CareFirst Setting Professional Modifier None Typical Low $12.02 Median $13.49 Typical High $23.44 | Professional | None | $12.02 | $13.49 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $39.81 Typical High $66.07 | Facility | None | $16.98 | $39.81 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $12.88 Typical High $23.99 | Professional | None | $9.33 | $12.88 | $23.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.60 Median $19.95 Typical High $24.55 | Professional | None | $16.60 | $19.95 | $24.55 |
Medcost Setting Professional Modifier None Typical Low $13.80 Median $28.18 Typical High $33.11 | Professional | None | $13.80 | $28.18 | $33.11 |
Medcost Setting Facility Modifier None Typical Low $13.80 Median $15.85 Typical High $34.67 | Facility | None | $13.80 | $15.85 | $34.67 |
Medcost Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $15.85 | Professional | None | $14.45 | $14.45 | $15.85 |
Sentara Setting Facility Modifier None Typical Low $15.14 Median $24.55 Typical High $7,413.10 | Facility | None | $15.14 | $24.55 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $15.14 Median $23.99 Typical High $7,413.10 | Professional | None | $15.14 | $23.99 | $7,413.10 |
United Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $75.86 | Facility | None | $19.95 | $19.95 | $75.86 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $18.20 | Professional | None | $7.08 | $10.00 | $18.20 |
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 $7.76 Typical High $7.94 | Professional | 52 · Reduced service | $6.31 | $7.76 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $3.09 Typical High $3.16 | Professional | 53 · Discontinued | $2.51 | $3.09 | $3.16 |
Where Virginia sits
The same service costs 7.9 times more in Vermont 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· 34th of 51
$15.85
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.