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 $14.13 Median $34.67 Typical High $51.29 | Facility | None | $14.13 | $34.67 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $17.78 Typical High $46.77 | Professional | None | $14.13 | $17.78 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $93.33 | Facility | None | $19.05 | $19.05 | $93.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $11.22 Typical High $14.45 | Professional | None | $9.33 | $11.22 | $14.45 |
CareFirst Setting Professional Modifier None Typical Low $13.80 Median $15.14 Typical High $26.30 | Professional | None | $13.80 | $15.14 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $45.71 Typical High $74.13 | Facility | None | $19.50 | $45.71 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $15.49 Typical High $28.18 | Professional | None | $10.47 | $15.49 | $28.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.05 Median $22.91 Typical High $28.18 | Professional | None | $19.05 | $22.91 | $28.18 |
Medcost Setting Professional Modifier None Typical Low $15.85 Median $31.62 Typical High $37.15 | Professional | None | $15.85 | $31.62 | $37.15 |
Medcost Setting Facility Modifier None Typical Low $15.85 Median $16.60 Typical High $38.90 | Facility | None | $15.85 | $16.60 | $38.90 |
Medcost Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $23.99 | Professional | None | $16.22 | $16.22 | $23.99 |
Sentara Setting Facility Modifier None Typical Low $16.98 Median $29.51 Typical High $7,413.10 | Facility | None | $16.98 | $29.51 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $16.98 Median $31.62 Typical High $10,232.93 | Professional | None | $16.98 | $31.62 | $10,232.93 |
United Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
United Setting Professional Modifier None Typical Low $7.94 Median $11.48 Typical High $20.42 | Professional | None | $7.94 | $11.48 | $20.42 |
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 $7.08 Median $8.71 Typical High $8.91 | Professional | 52 · Reduced service | $7.08 | $8.71 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.47 Typical High $3.55 | Professional | 53 · Discontinued | $2.82 | $3.47 | $3.55 |
Where Virginia sits
The same service costs 5.0 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· 38th of 51
$16.98
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.