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 $7.59 Median $15.49 Typical High $27.54 | Facility | None | $7.59 | $15.49 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $9.55 Typical High $27.54 | Professional | None | $7.59 | $9.55 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $50.12 | Facility | None | $10.23 | $10.23 | $50.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.01 Median $6.03 Typical High $7.76 | Professional | None | $5.01 | $6.03 | $7.76 |
CareFirst Setting Professional Modifier None Typical Low $7.41 Median $8.13 Typical High $11.22 | Professional | None | $7.41 | $8.13 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $24.55 Typical High $39.81 | Facility | None | $10.47 | $24.55 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $8.32 Typical High $14.79 | Professional | None | $5.50 | $8.32 | $14.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.23 Median $12.30 Typical High $15.14 | Professional | None | $10.23 | $12.30 | $15.14 |
Medcost Setting Professional Modifier None Typical Low $8.51 Median $16.98 Typical High $19.95 | Professional | None | $8.51 | $16.98 | $19.95 |
Medcost Setting Facility Modifier None Typical Low $8.51 Median $9.12 Typical High $20.89 | Facility | None | $8.51 | $9.12 | $20.89 |
Medcost Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $25.70 | Professional | None | $9.12 | $9.12 | $25.70 |
Sentara Setting Facility Modifier None Typical Low $9.12 Median $14.45 Typical High $10,232.93 | Facility | None | $9.12 | $14.45 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $9.12 Median $14.45 Typical High $10,232.93 | Professional | None | $9.12 | $14.45 | $10,232.93 |
United Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
United Setting Professional Modifier None Typical Low $4.27 Median $6.03 Typical High $10.23 | Professional | None | $4.27 | $6.03 | $10.23 |
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 $3.80 Median $4.68 Typical High $4.79 | Professional | 52 · Reduced service | $3.80 | $4.68 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.86 Typical High $1.91 | Professional | 53 · Discontinued | $1.51 | $1.86 | $1.91 |
Where Virginia sits
The same service costs 26.9 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· 41st of 51
$8.91
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.