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 $13.18 Median $25.12 Typical High $37.15 | Facility | None | $13.18 | $25.12 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $12.02 Typical High $14.13 | Professional | None | $10.47 | $12.02 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $67.61 | Facility | None | $13.80 | $13.80 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $8.51 Typical High $10.72 | Professional | None | $6.76 | $8.51 | $10.72 |
CareFirst Setting Professional Modifier None Typical Low $10.00 Median $10.96 Typical High $19.50 | Professional | None | $10.00 | $10.96 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $33.11 Typical High $54.95 | Facility | None | $14.13 | $33.11 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $10.72 Typical High $19.95 | Professional | None | $7.76 | $10.72 | $19.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.80 Median $16.60 Typical High $20.42 | Professional | None | $13.80 | $16.60 | $20.42 |
Medcost Setting Professional Modifier None Typical Low $10.47 Median $23.44 Typical High $26.92 | Professional | None | $10.47 | $23.44 | $26.92 |
Medcost Setting Facility Modifier None Typical Low $11.48 Median $12.30 Typical High $28.18 | Facility | None | $11.48 | $12.30 | $28.18 |
Medcost Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $43.65 | Professional | None | $12.30 | $12.30 | $43.65 |
Sentara Setting Facility Modifier None Typical Low $12.59 Median $21.38 Typical High $7,413.10 | Facility | None | $12.59 | $21.38 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $12.59 Median $21.38 Typical High $10,232.93 | Professional | None | $12.59 | $21.38 | $10,232.93 |
United Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier None Typical Low $5.75 Median $8.32 Typical High $14.45 | Professional | None | $5.75 | $8.32 | $14.45 |
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 $5.25 Median $6.31 Typical High $6.46 | Professional | 52 · Reduced service | $5.25 | $6.31 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.51 Typical High $2.63 | Professional | 53 · Discontinued | $2.09 | $2.51 | $2.63 |
Where Virginia sits
The same service costs 28.8 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· 45th of 51
$11.22
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.