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 $10.96 Median $22.39 Typical High $39.81 | Facility | None | $10.96 | $22.39 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $14.79 Typical High $39.81 | Professional | None | $10.96 | $14.79 | $39.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $72.44 | Facility | None | $14.79 | $14.79 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $8.71 Typical High $11.22 | Professional | None | $7.24 | $8.71 | $11.22 |
CareFirst Setting Professional Modifier None Typical Low $10.47 Median $11.75 Typical High $20.42 | Professional | None | $10.47 | $11.75 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $35.48 Typical High $57.54 | Facility | None | $15.14 | $35.48 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $12.02 Typical High $21.38 | Professional | None | $8.13 | $12.02 | $21.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.79 Median $17.78 Typical High $21.88 | Professional | None | $14.79 | $17.78 | $21.88 |
Medcost Setting Professional Modifier None Typical Low $12.30 Median $24.55 Typical High $28.84 | Professional | None | $12.30 | $24.55 | $28.84 |
Medcost Setting Facility Modifier None Typical Low $12.30 Median $12.88 Typical High $30.20 | Facility | None | $12.30 | $12.88 | $30.20 |
Medcost Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $21.38 | Professional | None | $12.59 | $12.59 | $21.38 |
Sentara Setting Facility Modifier None Typical Low $13.18 Median $25.12 Typical High $7,413.10 | Facility | None | $13.18 | $25.12 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $13.18 Median $25.12 Typical High $10,232.93 | Professional | None | $13.18 | $25.12 | $10,232.93 |
United Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $44.67 | Facility | None | $17.78 | $17.78 | $44.67 |
United Setting Professional Modifier None Typical Low $6.17 Median $8.91 Typical High $15.49 | Professional | None | $6.17 | $8.91 | $15.49 |
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 $5.50 Median $6.76 Typical High $6.92 | Professional | 52 · Reduced service | $5.50 | $6.76 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.69 Typical High $2.75 | Professional | 53 · Discontinued | $2.19 | $2.69 | $2.75 |
Where Virginia sits
The same service costs 7.9 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· 35th of 51
$13.80
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.