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 $5.01 Median $10.23 Typical High $17.78 | Facility | None | $5.01 | $10.23 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $7.41 Typical High $17.38 | Professional | None | $5.01 | $7.41 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.76 Median $6.76 Typical High $33.11 | Facility | None | $6.76 | $6.76 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.31 Median $3.98 Typical High $5.13 | Professional | None | $3.31 | $3.98 | $5.13 |
CareFirst Setting Professional Modifier None Typical Low $4.79 Median $5.37 Typical High $9.33 | Professional | None | $4.79 | $5.37 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $6.76 Median $15.85 Typical High $26.30 | Facility | None | $6.76 | $15.85 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $5.50 Typical High $9.77 | Professional | None | $3.80 | $5.50 | $9.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.76 Median $7.94 Typical High $10.00 | Professional | None | $6.76 | $7.94 | $10.00 |
Medcost Setting Professional Modifier None Typical Low $5.62 Median $11.22 Typical High $13.18 | Professional | None | $5.62 | $11.22 | $13.18 |
Medcost Setting Facility Modifier None Typical Low $5.37 Median $5.89 Typical High $13.49 | Facility | None | $5.37 | $5.89 | $13.49 |
Medcost Setting Professional Modifier None Typical Low $5.62 Median $5.75 Typical High $5.75 | Professional | None | $5.62 | $5.75 | $5.75 |
Sentara Setting Facility Modifier None Typical Low $6.03 Median $10.23 Typical High $4,570.88 | Facility | None | $6.03 | $10.23 | $4,570.88 |
Sentara Setting Professional Modifier None Typical Low $6.03 Median $10.23 Typical High $4,570.88 | Professional | None | $6.03 | $10.23 | $4,570.88 |
United Setting Facility Modifier None Typical Low $2.24 Median $7.94 Typical High $20.89 | Facility | None | $2.24 | $7.94 | $20.89 |
United Setting Professional Modifier None Typical Low $2.82 Median $3.98 Typical High $7.08 | Professional | None | $2.82 | $3.98 | $7.08 |
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 $2.51 Median $3.09 Typical High $3.16 | Professional | 52 · Reduced service | $2.51 | $3.09 | $3.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.23 Typical High $1.26 | Professional | 53 · Discontinued | $1.00 | $1.23 | $1.26 |
Where Virginia sits
The same service costs 10.0 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· 38th of 51
$6.31
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.