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 $2.45 Median $4.47 Typical High $7.59 | Facility | None | $2.45 | $4.47 | $7.59 |
Aetna Setting Professional Modifier None Typical Low $2.45 Median $3.47 Typical High $6.31 | Professional | None | $2.45 | $3.47 | $6.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.31 Median $3.31 Typical High $16.22 | Facility | None | $3.31 | $3.31 | $16.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.58 Median $1.95 Typical High $2.51 | Professional | None | $1.58 | $1.95 | $2.51 |
CareFirst Setting Professional Modifier None Typical Low $2.34 Median $2.63 Typical High $3.24 | Professional | None | $2.34 | $2.63 | $3.24 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $6.61 Typical High $9.77 | Facility | None | $3.31 | $6.61 | $9.77 |
Cigna Setting Professional Modifier None Typical Low $1.51 Median $2.95 Typical High $4.68 | Professional | None | $1.51 | $2.95 | $4.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.31 Median $3.98 Typical High $4.79 | Professional | None | $3.31 | $3.98 | $4.79 |
Medcost Setting Professional Modifier None Typical Low $2.63 Median $3.89 Typical High $4.57 | Professional | None | $2.63 | $3.89 | $4.57 |
Medcost Setting Facility Modifier None Typical Low $1.62 Median $2.63 Typical High $4.57 | Facility | None | $1.62 | $2.63 | $4.57 |
Medcost Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $7.08 | Professional | None | $2.00 | $2.00 | $7.08 |
Sentara Setting Facility Modifier None Typical Low $2.34 Median $4.27 Typical High $7,413.10 | Facility | None | $2.34 | $4.27 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $2.45 Median $4.07 Typical High $4,570.88 | Professional | None | $2.45 | $4.07 | $4,570.88 |
United Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | None | $3.98 | $3.98 | $3.98 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.14 Typical High $3.31 | Professional | None | $1.91 | $2.14 | $3.31 |
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 $1.23 Median $1.41 Typical High $1.45 | Professional | 52 · Reduced service | $1.23 | $1.41 | $1.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.49 Median $0.56 Typical High $0.58 | Professional | 53 · Discontinued | $0.49 | $0.56 | $0.58 |
Where Virginia sits
The same service costs 11.5 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· 41st of 51
$2.95
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.