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 $8.32 Median $16.22 Typical High $23.44 | Facility | None | $8.32 | $16.22 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $8.32 Typical High $21.38 | Professional | None | $6.61 | $8.32 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $42.66 | Facility | None | $8.71 | $8.71 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.37 Median $5.25 Typical High $6.76 | Professional | None | $4.37 | $5.25 | $6.76 |
CareFirst Setting Professional Modifier None Typical Low $6.31 Median $6.92 Typical High $12.30 | Professional | None | $6.31 | $6.92 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $21.38 Typical High $33.88 | Facility | None | $8.91 | $21.38 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $7.08 Typical High $12.30 | Professional | None | $4.79 | $7.08 | $12.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.71 Median $10.47 Typical High $12.88 | Professional | None | $8.71 | $10.47 | $12.88 |
Medcost Setting Professional Modifier None Typical Low $7.24 Median $14.79 Typical High $16.98 | Professional | None | $7.24 | $14.79 | $16.98 |
Medcost Setting Facility Modifier None Typical Low $7.24 Median $7.76 Typical High $17.78 | Facility | None | $7.24 | $7.76 | $17.78 |
Medcost Setting Professional Modifier None Typical Low $7.24 Median $7.59 Typical High $7.59 | Professional | None | $7.24 | $7.59 | $7.59 |
Sentara Setting Facility Modifier None Typical Low $7.94 Median $13.18 Typical High $4,570.88 | Facility | None | $7.94 | $13.18 | $4,570.88 |
Sentara Setting Professional Modifier None Typical Low $7.94 Median $13.18 Typical High $4,570.88 | Professional | None | $7.94 | $13.18 | $4,570.88 |
United Setting Facility Modifier None Typical Low $2.29 Median $10.47 Typical High $19.50 | Facility | None | $2.29 | $10.47 | $19.50 |
United Setting Professional Modifier None Typical Low $3.63 Median $5.25 Typical High $9.12 | Professional | None | $3.63 | $5.25 | $9.12 |
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 $3.31 Median $3.98 Typical High $4.17 | Professional | 52 · Reduced service | $3.31 | $3.98 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.62 Typical High $1.66 | Professional | 53 · Discontinued | $1.32 | $1.62 | $1.66 |
Where Virginia sits
The same service costs 7.6 times more in Minnesota 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· 36th of 51
$8.32
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.