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 $4.47 Median $9.12 Typical High $16.22 | Facility | None | $4.47 | $9.12 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $5.62 Typical High $14.79 | Professional | None | $4.47 | $5.62 | $14.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $29.51 | Facility | None | $6.03 | $6.03 | $29.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.95 Median $3.63 Typical High $4.57 | Professional | None | $2.95 | $3.63 | $4.57 |
CareFirst Setting Professional Modifier None Typical Low $4.37 Median $4.79 Typical High $8.32 | Professional | None | $4.37 | $4.79 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $14.13 Typical High $23.44 | Facility | None | $6.17 | $14.13 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $4.90 Typical High $8.71 | Professional | None | $3.39 | $4.90 | $8.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.03 Median $7.24 Typical High $8.91 | Professional | None | $6.03 | $7.24 | $8.91 |
Medcost Setting Professional Modifier None Typical Low $5.01 Median $10.00 Typical High $11.75 | Professional | None | $5.01 | $10.00 | $11.75 |
Medcost Setting Facility Modifier None Typical Low $5.01 Median $5.37 Typical High $12.02 | Facility | None | $5.01 | $5.37 | $12.02 |
Medcost Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $7.24 | Professional | None | $5.37 | $5.37 | $7.24 |
Sentara Setting Facility Modifier None Typical Low $5.37 Median $9.77 Typical High $7,413.10 | Facility | None | $5.37 | $9.77 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $5.37 Median $10.00 Typical High $10,232.93 | Professional | None | $5.37 | $10.00 | $10,232.93 |
United Setting Facility Modifier None Typical Low $2.00 Median $7.24 Typical High $15.14 | Facility | None | $2.00 | $7.24 | $15.14 |
United Setting Professional Modifier None Typical Low $2.51 Median $3.63 Typical High $6.31 | Professional | None | $2.51 | $3.63 | $6.31 |
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 $2.24 Median $2.75 Typical High $2.82 | Professional | 52 · Reduced service | $2.24 | $2.75 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $1.12 Typical High $1.12 | Professional | 53 · Discontinued | $0.89 | $1.12 | $1.12 |
Where Virginia sits
The same service costs 14.5 times more in Minnesota 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· 44th of 51
$5.37
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.