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 $6.92 Median $12.88 Typical High $23.99 | Facility | None | $6.92 | $12.88 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $8.32 Typical High $9.33 | Professional | None | $6.92 | $8.32 | $9.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $45.71 | Facility | None | $9.12 | $9.12 | $45.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.57 Median $5.50 Typical High $7.08 | Professional | None | $4.57 | $5.50 | $7.08 |
CareFirst Setting Professional Modifier None Typical Low $6.61 Median $7.41 Typical High $12.88 | Professional | None | $6.61 | $7.41 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $21.88 Typical High $36.31 | Facility | None | $9.33 | $21.88 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $7.08 Typical High $13.49 | Professional | None | $5.01 | $7.08 | $13.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.12 Median $10.96 Typical High $13.80 | Professional | None | $9.12 | $10.96 | $13.80 |
Medcost Setting Professional Modifier None Typical Low $7.59 Median $15.49 Typical High $18.20 | Professional | None | $7.59 | $15.49 | $18.20 |
Medcost Setting Facility Modifier None Typical Low $7.59 Median $8.32 Typical High $18.62 | Facility | None | $7.59 | $8.32 | $18.62 |
Medcost Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $13.49 | Professional | None | $7.94 | $7.94 | $13.49 |
Sentara Setting Facility Modifier None Typical Low $8.32 Median $15.85 Typical High $7,413.10 | Facility | None | $8.32 | $15.85 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $8.32 Median $15.85 Typical High $10,232.93 | Professional | None | $8.32 | $15.85 | $10,232.93 |
United Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $30.20 | Facility | None | $10.96 | $10.96 | $30.20 |
United Setting Professional Modifier None Typical Low $3.89 Median $5.50 Typical High $9.77 | Professional | None | $3.89 | $5.50 | $9.77 |
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 $3.47 Median $4.27 Typical High $4.37 | Professional | 52 · Reduced service | $3.47 | $4.27 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $1.70 Typical High $1.74 | Professional | 53 · Discontinued | $1.38 | $1.70 | $1.74 |
Where Virginia sits
The same service costs 3.6 times more in Kansas 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· 43rd of 51
$7.59
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.