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 $5.75 Median $6.92 Typical High $19.05 | Facility | None | $5.75 | $6.92 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $6.92 Typical High $6.92 | Professional | None | $5.75 | $6.92 | $6.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $37.15 | Facility | None | $7.59 | $7.59 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.63 Median $4.57 Typical High $5.89 | Professional | None | $3.63 | $4.57 | $5.89 |
CareFirst Setting Professional Modifier None Typical Low $5.50 Median $6.17 Typical High $10.23 | Professional | None | $5.50 | $6.17 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $18.20 Typical High $29.51 | Facility | None | $7.76 | $18.20 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $5.62 Typical High $11.48 | Professional | None | $4.07 | $5.62 | $11.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.59 Median $9.12 Typical High $11.22 | Professional | None | $7.59 | $9.12 | $11.22 |
Medcost Setting Professional Modifier None Typical Low $6.17 Median $12.30 Typical High $14.45 | Professional | None | $6.17 | $12.30 | $14.45 |
Medcost Setting Facility Modifier None Typical Low $6.17 Median $6.92 Typical High $15.14 | Facility | None | $6.17 | $6.92 | $15.14 |
Medcost Setting Professional Modifier None Typical Low $3.72 Median $6.31 Typical High $6.31 | Professional | None | $3.72 | $6.31 | $6.31 |
Sentara Setting Facility Modifier None Typical Low $6.61 Median $10.96 Typical High $10,232.93 | Facility | None | $6.61 | $10.96 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $6.61 Median $10.96 Typical High $10,232.93 | Professional | None | $6.61 | $10.96 | $10,232.93 |
United Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $15.14 | Facility | None | $9.12 | $9.12 | $15.14 |
United Setting Professional Modifier None Typical Low $3.24 Median $4.57 Typical High $7.76 | Professional | None | $3.24 | $4.57 | $7.76 |
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 $2.88 Median $3.47 Typical High $3.47 | Professional | 52 · Reduced service | $2.88 | $3.47 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.41 Typical High $1.41 | Professional | 53 · Discontinued | $1.15 | $1.41 | $1.41 |
Where Virginia sits
The same service costs 3.8 times more in Kansas 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· 46th of 51
$6.17
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.