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 $5.37 Median $13.18 Typical High $19.50 | Facility | None | $5.37 | $13.18 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $6.76 Typical High $17.78 | Professional | None | $5.37 | $6.76 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $35.48 | Facility | None | $7.24 | $7.24 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.55 Median $4.37 Typical High $5.50 | Professional | None | $3.55 | $4.37 | $5.50 |
CareFirst Setting Professional Modifier None Typical Low $5.13 Median $5.75 Typical High $10.00 | Professional | None | $5.13 | $5.75 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $17.38 Typical High $28.18 | Facility | None | $7.41 | $17.38 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $3.89 Median $6.03 Typical High $10.23 | Professional | None | $3.89 | $6.03 | $10.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.24 Median $8.71 Typical High $10.72 | Professional | None | $7.24 | $8.71 | $10.72 |
Medcost Setting Professional Modifier None Typical Low $6.03 Median $12.02 Typical High $14.13 | Professional | None | $6.03 | $12.02 | $14.13 |
Medcost Setting Facility Modifier None Typical Low $6.03 Median $6.76 Typical High $14.79 | Facility | None | $6.03 | $6.76 | $14.79 |
Medcost Setting Professional Modifier None Typical Low $2.00 Median $6.17 Typical High $6.17 | Professional | None | $2.00 | $6.17 | $6.17 |
Sentara Setting Facility Modifier None Typical Low $6.46 Median $12.30 Typical High $7,413.10 | Facility | None | $6.46 | $12.30 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $6.46 Median $12.30 Typical High $10,232.93 | Professional | None | $6.46 | $12.30 | $10,232.93 |
United Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Facility | None | $8.71 | $8.71 | $8.71 |
United Setting Professional Modifier None Typical Low $3.02 Median $4.37 Typical High $7.59 | Professional | None | $3.02 | $4.37 | $7.59 |
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 $2.69 Median $3.31 Typical High $3.39 | Professional | 52 · Reduced service | $2.69 | $3.31 | $3.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.07 Median $1.32 Typical High $1.35 | Professional | 53 · Discontinued | $1.07 | $1.32 | $1.35 |
Where Virginia sits
The same service costs 5.8 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· 39th of 51
$6.46
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.