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 $15.85 Median $28.18 Typical High $48.98 | Facility | None | $15.85 | $28.18 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $17.78 Typical High $29.51 | Professional | None | $15.49 | $17.78 | $29.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $102.33 | Facility | None | $20.89 | $20.89 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.51 Median $12.02 Typical High $15.49 | Professional | None | $8.51 | $12.02 | $15.49 |
CareFirst Setting Professional Modifier None Typical Low $15.14 Median $16.98 Typical High $21.88 | Professional | None | $15.14 | $16.98 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $40.74 Typical High $63.10 | Facility | None | $21.38 | $40.74 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $12.88 Typical High $24.55 | Professional | None | $10.23 | $12.88 | $24.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.89 Median $25.12 Typical High $30.90 | Professional | None | $20.89 | $25.12 | $30.90 |
Medcost Setting Professional Modifier None Typical Low $12.88 Median $25.70 Typical High $30.20 | Professional | None | $12.88 | $25.70 | $30.20 |
Medcost Setting Facility Modifier None Typical Low $12.88 Median $16.98 Typical High $31.62 | Facility | None | $12.88 | $16.98 | $31.62 |
Medcost Setting Professional Modifier None Typical Low $10.23 Median $13.18 Typical High $13.18 | Professional | None | $10.23 | $13.18 | $13.18 |
Sentara Setting Facility Modifier None Typical Low $16.98 Median $26.30 Typical High $10,232.93 | Facility | None | $16.98 | $26.30 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $16.98 Median $26.30 Typical High $10,232.93 | Professional | None | $16.98 | $26.30 | $10,232.93 |
United Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
United Setting Professional Modifier None Typical Low $8.91 Median $11.22 Typical High $20.89 | Professional | None | $8.91 | $11.22 | $20.89 |
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 $7.94 Median $8.91 Typical High $9.33 | Professional | 52 · Reduced service | $7.94 | $8.91 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.63 Typical High $3.72 | Professional | 53 · Discontinued | $3.16 | $3.63 | $3.72 |
Where Virginia sits
The same service costs 6.6 times more in Vermont than in Kentucky. 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· 44th of 51
$16.22
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.