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 $19.50 Median $38.90 Typical High $69.18 | Facility | None | $19.50 | $38.90 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $24.55 Typical High $63.10 | Professional | None | $19.50 | $24.55 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $125.89 | Facility | None | $25.70 | $25.70 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $15.49 Typical High $19.95 | Professional | None | $12.88 | $15.49 | $19.95 |
CareFirst Setting Professional Modifier None Typical Low $18.62 Median $20.42 Typical High $36.31 | Professional | None | $18.62 | $20.42 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $61.66 Typical High $102.33 | Facility | None | $26.30 | $61.66 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $21.38 Typical High $37.15 | Professional | None | $14.13 | $21.38 | $37.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.70 Median $30.90 Typical High $38.02 | Professional | None | $25.70 | $30.90 | $38.02 |
Medcost Setting Professional Modifier None Typical Low $21.38 Median $43.65 Typical High $50.12 | Professional | None | $21.38 | $43.65 | $50.12 |
Medcost Setting Facility Modifier None Typical Low $20.42 Median $22.91 Typical High $52.48 | Facility | None | $20.42 | $22.91 | $52.48 |
Medcost Setting Professional Modifier None Typical Low $21.88 Median $22.39 Typical High $22.39 | Professional | None | $21.88 | $22.39 | $22.39 |
Sentara Setting Facility Modifier None Typical Low $23.44 Median $42.66 Typical High $7,413.10 | Facility | None | $23.44 | $42.66 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $23.44 Median $43.65 Typical High $7,413.10 | Professional | None | $23.44 | $43.65 | $7,413.10 |
United Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $104.71 | Facility | None | $30.90 | $30.90 | $104.71 |
United Setting Professional Modifier None Typical Low $10.96 Median $15.49 Typical High $28.18 | Professional | None | $10.96 | $15.49 | $28.18 |
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 $9.77 Median $11.75 Typical High $12.30 | Professional | 52 · Reduced service | $9.77 | $11.75 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.79 Typical High $4.90 | Professional | 53 · Discontinued | $3.89 | $4.79 | $4.90 |
Where Virginia sits
The same service costs 7.4 times more in Vermont than in Alabama. 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· 39th of 51
$23.44
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.