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 $8.51 Median $20.89 Typical High $30.90 | Facility | None | $8.51 | $20.89 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $10.72 Typical High $26.30 | Professional | None | $8.51 | $10.72 | $26.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $56.23 | Facility | None | $11.48 | $11.48 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $6.92 Typical High $8.32 | Professional | None | $5.62 | $6.92 | $8.32 |
CareFirst Setting Professional Modifier None Typical Low $8.32 Median $9.12 Typical High $15.85 | Professional | None | $8.32 | $9.12 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $27.54 Typical High $45.71 | Facility | None | $11.75 | $27.54 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $9.33 Typical High $16.98 | Professional | None | $6.31 | $9.33 | $16.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.48 Median $13.80 Typical High $16.98 | Professional | None | $11.48 | $13.80 | $16.98 |
Medcost Setting Professional Modifier None Typical Low $9.55 Median $19.05 Typical High $22.39 | Professional | None | $9.55 | $19.05 | $22.39 |
Medcost Setting Facility Modifier None Typical Low $9.55 Median $10.47 Typical High $23.44 | Facility | None | $9.55 | $10.47 | $23.44 |
Medcost Setting Professional Modifier None Typical Low $8.91 Median $9.77 Typical High $9.77 | Professional | None | $8.91 | $9.77 | $9.77 |
Sentara Setting Facility Modifier None Typical Low $10.23 Median $19.50 Typical High $7,413.10 | Facility | None | $10.23 | $19.50 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $10.23 Median $19.50 Typical High $10,232.93 | Professional | None | $10.23 | $19.50 | $10,232.93 |
United Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $36.31 | Facility | None | $13.80 | $13.80 | $36.31 |
United Setting Professional Modifier None Typical Low $4.79 Median $6.92 Typical High $12.02 | Professional | None | $4.79 | $6.92 | $12.02 |
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 $4.27 Median $5.25 Typical High $5.37 | Professional | 52 · Reduced service | $4.27 | $5.25 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $2.09 Typical High $2.14 | Professional | 53 · Discontinued | $1.70 | $2.09 | $2.14 |
Where Virginia sits
The same service costs 12.6 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· 44th of 51
$9.33
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.