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 $11.48 Median $22.39 Typical High $32.36 | Facility | None | $11.48 | $22.39 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $10.96 Typical High $16.22 | Professional | None | $9.12 | $10.96 | $16.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $58.88 | Facility | None | $12.02 | $12.02 | $58.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $7.24 Typical High $9.33 | Professional | None | $5.89 | $7.24 | $9.33 |
CareFirst Setting Professional Modifier None Typical Low $8.71 Median $9.55 Typical High $12.30 | Professional | None | $8.71 | $9.55 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $28.84 Typical High $47.86 | Facility | None | $12.30 | $28.84 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $16.98 Typical High $29.51 | Professional | None | $11.48 | $16.98 | $29.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.02 Median $14.45 Typical High $17.78 | Professional | None | $12.02 | $14.45 | $17.78 |
Medcost Setting Professional Modifier None Typical Low $10.00 Median $20.42 Typical High $23.44 | Professional | None | $10.00 | $20.42 | $23.44 |
Medcost Setting Facility Modifier None Typical Low $12.59 Median $14.45 Typical High $51.29 | Facility | None | $12.59 | $14.45 | $51.29 |
Medcost Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $14.45 | Professional | None | $12.59 | $12.59 | $14.45 |
Sentara Setting Facility Modifier None Typical Low $11.75 Median $20.89 Typical High $83.18 | Facility | None | $11.75 | $20.89 | $83.18 |
Sentara Setting Professional Modifier None Typical Low $11.48 Median $21.88 Typical High $93.33 | Professional | None | $11.48 | $21.88 | $93.33 |
United Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $36.31 | Facility | None | $14.45 | $14.45 | $36.31 |
United Setting Professional Modifier None Typical Low $5.01 Median $6.03 Typical High $9.12 | Professional | None | $5.01 | $6.03 | $9.12 |
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 $4.47 Median $5.50 Typical High $5.75 | Professional | 52 · Reduced service | $4.47 | $5.50 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $2.24 Typical High $2.29 | Professional | 53 · Discontinued | $1.82 | $2.24 | $2.29 |
Where Virginia sits
The same service costs 3.9 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· 44th of 51
$12.02
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.