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 $10.23 Median $25.12 Typical High $36.31 | Facility | None | $10.23 | $25.12 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $12.88 Typical High $33.88 | Professional | None | $10.23 | $12.88 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $67.61 | Facility | None | $13.80 | $13.80 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $8.13 Typical High $10.47 | Professional | None | $6.76 | $8.13 | $10.47 |
CareFirst Setting Professional Modifier None Typical Low $9.77 Median $10.96 Typical High $19.05 | Professional | None | $9.77 | $10.96 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $33.11 Typical High $53.70 | Facility | None | $13.80 | $33.11 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $10.47 Typical High $19.50 | Professional | None | $7.59 | $10.47 | $19.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.80 Median $16.60 Typical High $20.42 | Professional | None | $13.80 | $16.60 | $20.42 |
Medcost Setting Professional Modifier None Typical Low $11.22 Median $22.91 Typical High $26.92 | Professional | None | $11.22 | $22.91 | $26.92 |
Medcost Setting Facility Modifier None Typical Low $11.22 Median $12.88 Typical High $27.54 | Facility | None | $11.22 | $12.88 | $27.54 |
Medcost Setting Professional Modifier None Typical Low $9.33 Median $11.75 Typical High $11.75 | Professional | None | $9.33 | $11.75 | $11.75 |
Sentara Setting Facility Modifier None Typical Low $12.30 Median $23.44 Typical High $7,413.10 | Facility | None | $12.30 | $23.44 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $12.30 Median $23.44 Typical High $10,232.93 | Professional | None | $12.30 | $23.44 | $10,232.93 |
United Setting Facility Modifier None Typical Low $4.79 Median $16.60 Typical High $36.31 | Facility | None | $4.79 | $16.60 | $36.31 |
United Setting Professional Modifier None Typical Low $5.75 Median $8.13 Typical High $14.45 | Professional | None | $5.75 | $8.13 | $14.45 |
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 $5.13 Median $6.31 Typical High $6.46 | Professional | 52 · Reduced service | $5.13 | $6.31 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.51 Typical High $2.57 | Professional | 53 · Discontinued | $2.04 | $2.51 | $2.57 |
Where Virginia sits
The same service costs 9.5 times more in Vermont than in Rhode Island. 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
$12.02
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.