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 $15.49 Median $38.02 Typical High $56.23 | Facility | None | $15.49 | $38.02 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $19.50 Typical High $31.62 | Professional | None | $15.49 | $19.50 | $31.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $102.33 | Facility | None | $20.89 | $20.89 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.23 Median $12.59 Typical High $15.85 | Professional | None | $10.23 | $12.59 | $15.85 |
CareFirst Setting Professional Modifier None Typical Low $15.14 Median $16.60 Typical High $28.84 | Professional | None | $15.14 | $16.60 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $50.12 Typical High $83.18 | Facility | None | $21.38 | $50.12 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $15.85 Typical High $30.20 | Professional | None | $11.48 | $15.85 | $30.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.89 Median $25.12 Typical High $30.90 | Professional | None | $20.89 | $25.12 | $30.90 |
Medcost Setting Professional Modifier None Typical Low $17.38 Median $34.67 Typical High $40.74 | Professional | None | $17.38 | $34.67 | $40.74 |
Medcost Setting Facility Modifier None Typical Low $17.38 Median $19.50 Typical High $42.66 | Facility | None | $17.38 | $19.50 | $42.66 |
Medcost Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $24.55 | Professional | None | $21.38 | $21.38 | $24.55 |
Sentara Setting Facility Modifier None Typical Low $18.62 Median $30.20 Typical High $10,232.93 | Facility | None | $18.62 | $30.20 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $18.62 Median $30.20 Typical High $10,232.93 | Professional | None | $18.62 | $30.20 | $10,232.93 |
United Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
United Setting Professional Modifier None Typical Low $8.71 Median $12.59 Typical High $21.88 | Professional | None | $8.71 | $12.59 | $21.88 |
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 $7.76 Median $9.55 Typical High $9.77 | Professional | 52 · Reduced service | $7.76 | $9.55 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.80 Typical High $3.89 | Professional | 53 · Discontinued | $3.09 | $3.80 | $3.89 |
Where Virginia sits
The same service costs 5.6 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· 47th of 51
$16.60
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.