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 $10.96 Median $21.88 Typical High $38.90 | Facility | None | $10.96 | $21.88 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $13.49 Typical High $31.62 | Professional | None | $10.96 | $13.49 | $31.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $70.79 | Facility | None | $14.45 | $14.45 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $8.91 Typical High $11.22 | Professional | None | $7.24 | $8.91 | $11.22 |
CareFirst Setting Professional Modifier None Typical Low $10.47 Median $11.75 Typical High $20.42 | Professional | None | $10.47 | $11.75 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $34.67 Typical High $57.54 | Facility | None | $14.79 | $34.67 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $12.02 Typical High $21.38 | Professional | None | $8.13 | $12.02 | $21.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.45 Median $17.38 Typical High $21.38 | Professional | None | $14.45 | $17.38 | $21.38 |
Medcost Setting Professional Modifier None Typical Low $12.02 Median $24.55 Typical High $28.18 | Professional | None | $12.02 | $24.55 | $28.18 |
Medcost Setting Facility Modifier None Typical Low $12.02 Median $13.80 Typical High $29.51 | Facility | None | $12.02 | $13.80 | $29.51 |
Medcost Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $18.62 | Professional | None | $15.14 | $15.14 | $18.62 |
Sentara Setting Facility Modifier None Typical Low $13.18 Median $23.99 Typical High $7,413.10 | Facility | None | $13.18 | $23.99 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $13.18 Median $24.55 Typical High $10,232.93 | Professional | None | $13.18 | $24.55 | $10,232.93 |
United Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
United Setting Professional Modifier None Typical Low $6.17 Median $8.71 Typical High $15.14 | Professional | None | $6.17 | $8.71 | $15.14 |
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 $5.50 Median $6.76 Typical High $6.92 | Professional | 52 · Reduced service | $5.50 | $6.76 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.69 Typical High $2.75 | Professional | 53 · Discontinued | $2.19 | $2.69 | $2.75 |
Where Virginia sits
The same service costs 7.9 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· 43rd of 51
$12.30
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.