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 $8.51 Median $21.38 Typical High $30.20 | Facility | None | $8.51 | $21.38 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $10.47 Typical High $27.54 | Professional | None | $8.51 | $10.47 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $54.95 | Facility | None | $11.22 | $11.22 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $6.92 Typical High $8.71 | Professional | None | $5.62 | $6.92 | $8.71 |
CareFirst Setting Professional Modifier None Typical Low $8.13 Median $8.91 Typical High $15.85 | Professional | None | $8.13 | $8.91 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $26.92 Typical High $44.67 | Facility | None | $11.48 | $26.92 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $8.71 Typical High $16.60 | Professional | None | $6.31 | $8.71 | $16.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.22 Median $13.49 Typical High $16.60 | Professional | None | $11.22 | $13.49 | $16.60 |
Medcost Setting Professional Modifier None Typical Low $9.33 Median $19.05 Typical High $21.88 | Professional | None | $9.33 | $19.05 | $21.88 |
Medcost Setting Facility Modifier None Typical Low $9.33 Median $10.72 Typical High $23.44 | Facility | None | $9.33 | $10.72 | $23.44 |
Medcost Setting Professional Modifier None Typical Low $10.96 Median $13.18 Typical High $13.18 | Professional | None | $10.96 | $13.18 | $13.18 |
Sentara Setting Facility Modifier None Typical Low $10.23 Median $19.05 Typical High $7,413.10 | Facility | None | $10.23 | $19.05 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $10.23 Median $19.05 Typical High $10,232.93 | Professional | None | $10.23 | $19.05 | $10,232.93 |
United Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
United Setting Professional Modifier None Typical Low $4.68 Median $6.76 Typical High $11.75 | Professional | None | $4.68 | $6.76 | $11.75 |
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 $4.27 Median $5.13 Typical High $5.37 | Professional | 52 · Reduced service | $4.27 | $5.13 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $2.04 Typical High $2.14 | Professional | 53 · Discontinued | $1.70 | $2.04 | $2.14 |
Where Virginia sits
The same service costs 11.7 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
$9.33
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.