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 $2.95 Median $6.03 Typical High $10.47 | Facility | None | $2.95 | $6.03 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $4.07 Typical High $10.23 | Professional | None | $2.95 | $4.07 | $10.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.89 Median $3.89 Typical High $19.05 | Facility | None | $3.89 | $3.89 | $19.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.95 Median $2.29 Typical High $3.02 | Professional | None | $1.95 | $2.29 | $3.02 |
CareFirst Setting Professional Modifier None Typical Low $2.82 Median $3.16 Typical High $5.50 | Professional | None | $2.82 | $3.16 | $5.50 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $9.33 Typical High $15.14 | Facility | None | $3.98 | $9.33 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $3.72 Typical High $5.62 | Professional | None | $2.29 | $3.72 | $5.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.89 Median $4.68 Typical High $5.75 | Professional | None | $3.89 | $4.68 | $5.75 |
Medcost Setting Professional Modifier None Typical Low $3.24 Median $6.61 Typical High $7.59 | Professional | None | $3.24 | $6.61 | $7.59 |
Medcost Setting Facility Modifier None Typical Low $3.24 Median $3.72 Typical High $8.13 | Facility | None | $3.24 | $3.72 | $8.13 |
Medcost Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $4.47 | Professional | None | $3.39 | $3.39 | $4.47 |
Sentara Setting Facility Modifier None Typical Low $3.55 Median $6.61 Typical High $7,413.10 | Facility | None | $3.55 | $6.61 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $3.55 Median $5.75 Typical High $4,570.88 | Professional | None | $3.55 | $5.75 | $4,570.88 |
United Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $10.47 | Facility | None | $4.68 | $4.68 | $10.47 |
United Setting Professional Modifier None Typical Low $2.34 Median $3.31 Typical High $5.50 | Professional | None | $2.34 | $3.31 | $5.50 |
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 $1.48 Median $1.82 Typical High $1.86 | Professional | 52 · Reduced service | $1.48 | $1.82 | $1.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.59 Median $0.72 Typical High $0.74 | Professional | 53 · Discontinued | $0.59 | $0.72 | $0.74 |
Where Virginia sits
The same service costs 12.6 times more in Vermont than in Washington, DC. 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· 37th of 51
$3.89
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.