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 $8.13 Median $19.50 Typical High $28.84 | Facility | None | $8.13 | $19.50 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $10.23 Typical High $26.30 | Professional | None | $8.13 | $10.23 | $26.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $52.48 | Facility | None | $10.72 | $10.72 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.25 Median $6.46 Typical High $8.32 | Professional | None | $5.25 | $6.46 | $8.32 |
CareFirst Setting Professional Modifier None Typical Low $7.76 Median $8.51 Typical High $15.14 | Professional | None | $7.76 | $8.51 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $25.70 Typical High $42.66 | Facility | None | $10.96 | $25.70 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $16.22 Typical High $28.18 | Professional | None | $10.23 | $16.22 | $28.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.72 Median $12.88 Typical High $15.85 | Professional | None | $10.72 | $12.88 | $15.85 |
Medcost Setting Professional Modifier None Typical Low $8.91 Median $18.20 Typical High $20.89 | Professional | None | $8.91 | $18.20 | $20.89 |
Medcost Setting Facility Modifier None Typical Low $9.12 Median $14.45 Typical High $47.86 | Facility | None | $9.12 | $14.45 | $47.86 |
Medcost Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $11.48 | Professional | None | $9.12 | $9.12 | $11.48 |
Sentara Setting Facility Modifier None Typical Low $10.72 Median $19.95 Typical High $85.11 | Facility | None | $10.72 | $19.95 | $85.11 |
Sentara Setting Professional Modifier None Typical Low $10.47 Median $20.89 Typical High $104.71 | Professional | None | $10.47 | $20.89 | $104.71 |
United Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $30.20 | Facility | None | $12.88 | $12.88 | $30.20 |
United Setting Professional Modifier None Typical Low $4.47 Median $6.31 Typical High $8.91 | Professional | None | $4.47 | $6.31 | $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 $4.07 Median $4.90 Typical High $5.13 | Professional | 52 · Reduced service | $4.07 | $4.90 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $2.00 Typical High $2.04 | Professional | 53 · Discontinued | $1.62 | $2.00 | $2.04 |
Where Virginia sits
The same service costs 7.9 times more in Vermont than in Washington, DC. 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· 43rd of 51
$10.72
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.