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 $5.62 Median $11.48 Typical High $19.95 | Facility | None | $5.62 | $11.48 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $7.08 Typical High $17.38 | Professional | None | $5.62 | $7.08 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $37.15 | Facility | None | $7.59 | $7.59 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.72 Median $4.47 Typical High $5.75 | Professional | None | $3.72 | $4.47 | $5.75 |
CareFirst Setting Professional Modifier None Typical Low $5.37 Median $6.03 Typical High $10.47 | Professional | None | $5.37 | $6.03 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $18.20 Typical High $29.51 | Facility | None | $7.59 | $18.20 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $7.24 Typical High $11.22 | Professional | None | $4.47 | $7.24 | $11.22 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.59 Median $9.12 Typical High $11.22 | Professional | None | $7.59 | $9.12 | $11.22 |
Medcost Setting Professional Modifier None Typical Low $6.17 Median $12.59 Typical High $14.79 | Professional | None | $6.17 | $12.59 | $14.79 |
Medcost Setting Facility Modifier None Typical Low $6.17 Median $7.08 Typical High $15.14 | Facility | None | $6.17 | $7.08 | $15.14 |
Medcost Setting Professional Modifier None Typical Low $5.62 Median $6.46 Typical High $6.46 | Professional | None | $5.62 | $6.46 | $6.46 |
Sentara Setting Facility Modifier None Typical Low $6.76 Median $12.88 Typical High $7,413.10 | Facility | None | $6.76 | $12.88 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $6.76 Median $10.96 Typical High $4,570.88 | Professional | None | $6.76 | $10.96 | $4,570.88 |
United Setting Facility Modifier None Typical Low $2.45 Median $2.45 Typical High $9.12 | Facility | None | $2.45 | $2.45 | $9.12 |
United Setting Professional Modifier None Typical Low $3.16 Median $4.47 Typical High $7.94 | Professional | None | $3.16 | $4.47 | $7.94 |
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 $2.82 Median $3.47 Typical High $3.55 | Professional | 52 · Reduced service | $2.82 | $3.47 | $3.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.38 Typical High $1.41 | Professional | 53 · Discontinued | $1.12 | $1.38 | $1.41 |
Where Virginia sits
The same service costs 21.4 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· 39th of 51
$7.08
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.