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 $13.80 Median $23.44 Typical High $47.86 | Facility | None | $13.80 | $23.44 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $17.38 Typical High $45.71 | Professional | None | $13.80 | $17.38 | $45.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $89.13 | Facility | None | $18.20 | $18.20 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $11.22 Typical High $14.13 | Professional | None | $9.12 | $11.22 | $14.13 |
CareFirst Setting Professional Modifier None Typical Low $13.18 Median $14.79 Typical High $25.70 | Professional | None | $13.18 | $14.79 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $43.65 Typical High $72.44 | Facility | None | $18.62 | $43.65 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $14.13 Typical High $26.30 | Professional | None | $10.23 | $14.13 | $26.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $26.92 | Professional | None | $18.20 | $21.88 | $26.92 |
Medcost Setting Professional Modifier None Typical Low $15.14 Median $30.90 Typical High $36.31 | Professional | None | $15.14 | $30.90 | $36.31 |
Medcost Setting Facility Modifier None Typical Low $15.14 Median $16.98 Typical High $37.15 | Facility | None | $15.14 | $16.98 | $37.15 |
Medcost Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $26.92 | Professional | None | $15.85 | $15.85 | $26.92 |
Sentara Setting Facility Modifier None Typical Low $16.22 Median $26.92 Typical High $10,232.93 | Facility | None | $16.22 | $26.92 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $16.22 Median $26.92 Typical High $10,232.93 | Professional | None | $16.22 | $26.92 | $10,232.93 |
United Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
United Setting Professional Modifier None Typical Low $7.76 Median $10.96 Typical High $19.50 | Professional | None | $7.76 | $10.96 | $19.50 |
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 $6.92 Median $8.51 Typical High $8.71 | Professional | 52 · Reduced service | $6.92 | $8.51 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $3.39 Typical High $3.47 | Professional | 53 · Discontinued | $2.75 | $3.39 | $3.47 |
Where Virginia sits
The same service costs 7.9 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· 46th of 51
$14.79
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.