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 $3.80 Median $7.59 Typical High $13.49 | Facility | None | $3.80 | $7.59 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $4.68 Typical High $13.49 | Professional | None | $3.80 | $4.68 | $13.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $24.55 | Facility | None | $5.01 | $5.01 | $24.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.45 Median $3.02 Typical High $3.89 | Professional | None | $2.45 | $3.02 | $3.89 |
CareFirst Setting Professional Modifier None Typical Low $3.63 Median $3.98 Typical High $7.08 | Professional | None | $3.63 | $3.98 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $11.75 Typical High $19.95 | Facility | None | $5.13 | $11.75 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $2.69 Median $3.89 Typical High $7.24 | Professional | None | $2.69 | $3.89 | $7.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.01 Median $6.03 Typical High $7.41 | Professional | None | $5.01 | $6.03 | $7.41 |
Medcost Setting Professional Modifier None Typical Low $2.88 Median $8.51 Typical High $9.77 | Professional | None | $2.88 | $8.51 | $9.77 |
Medcost Setting Facility Modifier None Typical Low $4.17 Median $4.37 Typical High $10.00 | Facility | None | $4.17 | $4.37 | $10.00 |
Medcost Setting Professional Modifier None Typical Low $3.72 Median $4.27 Typical High $4.27 | Professional | None | $3.72 | $4.27 | $4.27 |
Sentara Setting Facility Modifier None Typical Low $4.47 Median $8.51 Typical High $7,413.10 | Facility | None | $4.47 | $8.51 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $4.47 Median $8.51 Typical High $10,232.93 | Professional | None | $4.47 | $8.51 | $10,232.93 |
United Setting Facility Modifier None Typical Low $1.58 Median $1.58 Typical High $6.03 | Facility | None | $1.58 | $1.58 | $6.03 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.02 Typical High $5.25 | Professional | None | $2.09 | $3.02 | $5.25 |
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 $1.91 Median $2.29 Typical High $2.34 | Professional | 52 · Reduced service | $1.91 | $2.29 | $2.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.91 Typical High $0.95 | Professional | 53 · Discontinued | $0.76 | $0.91 | $0.95 |
Where Virginia sits
The same service costs 8.9 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· 39th of 51
$4.68
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.