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 $13.49 Median $30.90 Typical High $45.71 | Facility | None | $13.49 | $30.90 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $15.85 Typical High $21.38 | Professional | None | $13.49 | $15.85 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $87.10 | Facility | None | $17.78 | $17.78 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $10.47 Typical High $13.18 | Professional | None | $8.32 | $10.47 | $13.18 |
CareFirst Setting Professional Modifier None Typical Low $12.88 Median $14.45 Typical High $23.44 | Professional | None | $12.88 | $14.45 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $42.66 Typical High $66.07 | Facility | None | $18.20 | $42.66 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $13.49 Typical High $20.42 | Professional | None | $9.33 | $13.49 | $20.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.78 Median $21.38 Typical High $26.30 | Professional | None | $17.78 | $21.38 | $26.30 |
Medcost Setting Professional Modifier None Typical Low $14.13 Median $28.18 Typical High $33.11 | Professional | None | $14.13 | $28.18 | $33.11 |
Medcost Setting Facility Modifier None Typical Low $14.13 Median $15.49 Typical High $34.67 | Facility | None | $14.13 | $15.49 | $34.67 |
Medcost Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $19.95 | Professional | None | $14.45 | $14.45 | $19.95 |
Sentara Setting Facility Modifier None Typical Low $15.14 Median $25.70 Typical High $10,232.93 | Facility | None | $15.14 | $25.70 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $15.14 Median $25.70 Typical High $10,232.93 | Professional | None | $15.14 | $25.70 | $10,232.93 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $21.38 | Facility | None | $18.20 | $18.20 | $21.38 |
United Setting Professional Modifier None Typical Low $7.59 Median $10.23 Typical High $17.78 | Professional | None | $7.59 | $10.23 | $17.78 |
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 $6.76 Median $7.94 Typical High $7.94 | Professional | 52 · Reduced service | $6.76 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $3.16 Typical High $3.16 | Professional | 53 · Discontinued | $2.69 | $3.16 | $3.16 |
Where Virginia sits
The same service costs 10.2 times more in Vermont than in New Jersey. 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· 46th of 51
$14.45
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.