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 $9.55 Median $23.44 Typical High $34.67 | Facility | None | $9.55 | $23.44 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $12.02 Typical High $19.50 | Professional | None | $9.55 | $12.02 | $19.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $63.10 | Facility | None | $12.88 | $12.88 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.31 Median $7.76 Typical High $10.00 | Professional | None | $6.31 | $7.76 | $10.00 |
CareFirst Setting Professional Modifier None Typical Low $9.33 Median $10.23 Typical High $18.20 | Professional | None | $9.33 | $10.23 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $30.90 Typical High $51.29 | Facility | None | $13.18 | $30.90 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $18.62 | Professional | None | $7.08 | $10.00 | $18.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.88 Median $15.49 Typical High $19.05 | Professional | None | $12.88 | $15.49 | $19.05 |
Medcost Setting Professional Modifier None Typical Low $9.33 Median $21.38 Typical High $25.12 | Professional | None | $9.33 | $21.38 | $25.12 |
Medcost Setting Facility Modifier None Typical Low $10.72 Median $12.02 Typical High $26.30 | Facility | None | $10.72 | $12.02 | $26.30 |
Medcost Setting Professional Modifier None Typical Low $4.90 Median $15.14 Typical High $15.14 | Professional | None | $4.90 | $15.14 | $15.14 |
Sentara Setting Facility Modifier None Typical Low $11.48 Median $19.95 Typical High $7,413.10 | Facility | None | $11.48 | $19.95 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $11.48 Median $19.95 Typical High $10,232.93 | Professional | None | $11.48 | $19.95 | $10,232.93 |
United Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
United Setting Professional Modifier None Typical Low $5.37 Median $7.76 Typical High $13.49 | Professional | None | $5.37 | $7.76 | $13.49 |
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 $4.79 Median $5.89 Typical High $6.03 | Professional | 52 · Reduced service | $4.79 | $5.89 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.34 Typical High $2.45 | Professional | 53 · Discontinued | $1.95 | $2.34 | $2.45 |
Where Virginia sits
The same service costs 13.5 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· 44th of 51
$10.47
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.