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 $8.71 Median $12.02 Typical High $26.92 | Facility | None | $8.71 | $12.02 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $9.77 Typical High $13.80 | Professional | None | $8.71 | $9.77 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $56.23 | Facility | None | $11.48 | $11.48 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.57 Median $6.92 Typical High $8.51 | Professional | None | $4.57 | $6.92 | $8.51 |
CareFirst Setting Professional Modifier None Typical Low $8.32 Median $9.12 Typical High $11.48 | Professional | None | $8.32 | $9.12 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $19.05 Typical High $28.84 | Facility | None | $11.75 | $19.05 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $11.48 Typical High $16.60 | Professional | None | $5.75 | $11.48 | $16.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.48 Median $13.80 Typical High $16.98 | Professional | None | $11.48 | $13.80 | $16.98 |
Medcost Setting Facility Modifier None Typical Low $6.03 Median $9.77 Typical High $14.79 | Facility | None | $6.03 | $9.77 | $14.79 |
Medcost Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
Sentara Setting Facility Modifier None Typical Low $8.13 Median $12.59 Typical High $7,413.10 | Facility | None | $8.13 | $12.59 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $8.13 Median $12.59 Typical High $7,413.10 | Professional | None | $8.13 | $12.59 | $7,413.10 |
United Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
United Setting Professional Modifier None Typical Low $4.79 Median $6.03 Typical High $11.48 | Professional | None | $4.79 | $6.03 | $11.48 |
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 $4.37 Median $4.90 Typical High $5.13 | Professional | 52 · Reduced service | $4.37 | $4.90 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.95 Typical High $2.04 | Professional | 53 · Discontinued | $1.74 | $1.95 | $2.04 |
Where Virginia sits
The same service costs 24.0 times more in Vermont than in New Jersey. 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
$9.12
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.