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 $9.33 Median $11.75 Typical High $32.36 | Facility | None | $9.33 | $11.75 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $10.96 Typical High $11.75 | Professional | None | $9.33 | $10.96 | $11.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $61.66 | Facility | None | $12.59 | $12.59 | $61.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.17 Median $7.59 Typical High $9.55 | Professional | None | $6.17 | $7.59 | $9.55 |
CareFirst Setting Professional Modifier None Typical Low $9.12 Median $10.00 Typical High $17.38 | Professional | None | $9.12 | $10.00 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $28.84 Typical High $48.98 | Facility | None | $12.88 | $28.84 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $9.55 Typical High $18.20 | Professional | None | $6.92 | $9.55 | $18.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.59 Median $15.14 Typical High $18.62 | Professional | None | $12.59 | $15.14 | $18.62 |
Medcost Setting Professional Modifier None Typical Low $3.89 Median $20.89 Typical High $24.55 | Professional | None | $3.89 | $20.89 | $24.55 |
Medcost Setting Facility Modifier None Typical Low $10.47 Median $11.75 Typical High $25.70 | Facility | None | $10.47 | $11.75 | $25.70 |
Medcost Setting Professional Modifier None Typical Low $4.90 Median $14.79 Typical High $14.79 | Professional | None | $4.90 | $14.79 | $14.79 |
Sentara Setting Facility Modifier None Typical Low $11.22 Median $18.62 Typical High $7,413.10 | Facility | None | $11.22 | $18.62 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $11.22 Median $18.62 Typical High $10,232.93 | Professional | None | $11.22 | $18.62 | $10,232.93 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $5.25 Median $7.59 Typical High $13.18 | Professional | None | $5.25 | $7.59 | $13.18 |
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 $4.68 Median $5.75 Typical High $5.89 | Professional | 52 · Reduced service | $4.68 | $5.75 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $2.29 Typical High $2.34 | Professional | 53 · Discontinued | $1.86 | $2.29 | $2.34 |
Where Virginia sits
The same service costs 3.5 times more in South Carolina 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
$10.00
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.