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 $6.31 Median $10.47 Typical High $21.88 | Facility | None | $6.31 | $10.47 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $7.41 Typical High $8.51 | Professional | None | $6.31 | $7.41 | $8.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $41.69 | Facility | None | $8.51 | $8.51 | $41.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.17 Median $5.01 Typical High $6.46 | Professional | None | $4.17 | $5.01 | $6.46 |
CareFirst Setting Professional Modifier None Typical Low $6.03 Median $6.76 Typical High $11.75 | Professional | None | $6.03 | $6.76 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $20.42 Typical High $33.11 | Facility | None | $8.71 | $20.42 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $6.46 Typical High $11.75 | Professional | None | $4.68 | $6.46 | $11.75 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.51 Median $10.23 Typical High $12.59 | Professional | None | $8.51 | $10.23 | $12.59 |
Medcost Setting Professional Modifier None Typical Low $4.07 Median $14.13 Typical High $16.60 | Professional | None | $4.07 | $14.13 | $16.60 |
Medcost Setting Facility Modifier None Typical Low $7.08 Median $7.41 Typical High $17.38 | Facility | None | $7.08 | $7.41 | $17.38 |
Medcost Setting Professional Modifier None Typical Low $3.98 Median $7.24 Typical High $7.24 | Professional | None | $3.98 | $7.24 | $7.24 |
Sentara Setting Facility Modifier None Typical Low $7.59 Median $12.30 Typical High $10,232.93 | Facility | None | $7.59 | $12.30 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $7.59 Median $12.30 Typical High $10,232.93 | Professional | None | $7.59 | $12.30 | $10,232.93 |
United Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $18.20 | Facility | None | $10.23 | $10.23 | $18.20 |
United Setting Professional Modifier None Typical Low $3.55 Median $5.01 Typical High $8.91 | Professional | None | $3.55 | $5.01 | $8.91 |
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 $3.16 Median $3.89 Typical High $3.98 | Professional | 52 · Reduced service | $3.16 | $3.89 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.55 Typical High $1.58 | Professional | 53 · Discontinued | $1.26 | $1.55 | $1.58 |
Where Virginia sits
The same service costs 4.0 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· 45th of 51
$6.76
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.