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 $3.80 Median $8.91 Typical High $12.88 | Facility | None | $3.80 | $8.91 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $4.57 Typical High $7.59 | Professional | None | $3.80 | $4.57 | $7.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $24.55 | Facility | None | $5.01 | $5.01 | $24.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.40 Median $3.02 Typical High $3.89 | Professional | None | $2.40 | $3.02 | $3.89 |
CareFirst Setting Professional Modifier None Typical Low $3.63 Median $4.07 Typical High $6.46 | Professional | None | $3.63 | $4.07 | $6.46 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $11.75 Typical High $19.05 | Facility | None | $5.13 | $11.75 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $2.69 Median $3.89 Typical High $7.24 | Professional | None | $2.69 | $3.89 | $7.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.01 Median $6.03 Typical High $7.41 | Professional | None | $5.01 | $6.03 | $7.41 |
Medcost Setting Professional Modifier None Typical Low $4.07 Median $8.13 Typical High $9.55 | Professional | None | $4.07 | $8.13 | $9.55 |
Medcost Setting Facility Modifier None Typical Low $4.07 Median $4.47 Typical High $10.00 | Facility | None | $4.07 | $4.47 | $10.00 |
Medcost Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $4.68 | Professional | None | $4.17 | $4.17 | $4.68 |
Sentara Setting Facility Modifier None Typical Low $4.57 Median $7.94 Typical High $7,413.10 | Facility | None | $4.57 | $7.94 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $4.57 Median $8.13 Typical High $10,232.93 | Professional | None | $4.57 | $8.13 | $10,232.93 |
United Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | None | $6.03 | $6.03 | $6.03 |
United Setting Professional Modifier None Typical Low $2.14 Median $2.95 Typical High $5.01 | Professional | None | $2.14 | $2.95 | $5.01 |
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 $1.91 Median $2.29 Typical High $2.29 | Professional | 52 · Reduced service | $1.91 | $2.29 | $2.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.91 Typical High $0.91 | Professional | 53 · Discontinued | $0.76 | $0.91 | $0.91 |
Where Virginia sits
The same service costs 9.3 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· 41st of 51
$4.17
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.