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 $10.72 Median $21.38 Typical High $38.02 | Facility | None | $10.72 | $21.38 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $13.49 Typical High $34.67 | Professional | None | $10.72 | $13.49 | $34.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $69.18 | Facility | None | $14.13 | $14.13 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $8.51 Typical High $10.96 | Professional | None | $7.08 | $8.51 | $10.96 |
CareFirst Setting Professional Modifier None Typical Low $10.23 Median $11.22 Typical High $19.95 | Professional | None | $10.23 | $11.22 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $33.88 Typical High $56.23 | Facility | None | $14.45 | $33.88 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $11.75 Typical High $20.89 | Professional | None | $7.94 | $11.75 | $20.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.13 Median $16.98 Typical High $20.89 | Professional | None | $14.13 | $16.98 | $20.89 |
Medcost Setting Professional Modifier None Typical Low $5.37 Median $23.99 Typical High $27.54 | Professional | None | $5.37 | $23.99 | $27.54 |
Medcost Setting Facility Modifier None Typical Low $11.75 Median $12.88 Typical High $28.84 | Facility | None | $11.75 | $12.88 | $28.84 |
Medcost Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $13.49 | Professional | None | $12.30 | $12.30 | $13.49 |
Sentara Setting Facility Modifier None Typical Low $12.88 Median $21.38 Typical High $7,413.10 | Facility | None | $12.88 | $21.38 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $12.88 Median $21.38 Typical High $10,232.93 | Professional | None | $12.88 | $21.38 | $10,232.93 |
United Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
United Setting Professional Modifier None Typical Low $6.03 Median $8.51 Typical High $14.79 | Professional | None | $6.03 | $8.51 | $14.79 |
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 $5.37 Median $6.46 Typical High $6.76 | Professional | 52 · Reduced service | $5.37 | $6.46 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.63 Typical High $2.69 | Professional | 53 · Discontinued | $2.14 | $2.63 | $2.69 |
Where Virginia sits
The same service costs 7.8 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· 37th of 51
$12.88
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.