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 $4.07 Median $10.00 Typical High $14.45 | Facility | None | $4.07 | $10.00 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $4.90 Typical High $7.08 | Professional | None | $4.07 | $4.90 | $7.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $26.30 | Facility | None | $5.37 | $5.37 | $26.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.63 Median $3.31 Typical High $4.17 | Professional | None | $2.63 | $3.31 | $4.17 |
CareFirst Setting Professional Modifier None Typical Low $3.89 Median $4.27 Typical High $7.59 | Professional | None | $3.89 | $4.27 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $12.59 Typical High $20.89 | Facility | None | $5.50 | $12.59 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $4.17 Typical High $7.59 | Professional | None | $3.02 | $4.17 | $7.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.37 Median $6.46 Typical High $7.94 | Professional | None | $5.37 | $6.46 | $7.94 |
Medcost Setting Professional Modifier None Typical Low $4.47 Median $8.91 Typical High $10.47 | Professional | None | $4.47 | $8.91 | $10.47 |
Medcost Setting Facility Modifier None Typical Low $4.47 Median $5.13 Typical High $11.22 | Facility | None | $4.47 | $5.13 | $11.22 |
Medcost Setting Professional Modifier None Typical Low $5.37 Median $8.71 Typical High $8.71 | Professional | None | $5.37 | $8.71 | $8.71 |
Sentara Setting Facility Modifier None Typical Low $4.79 Median $9.12 Typical High $7,413.10 | Facility | None | $4.79 | $9.12 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $4.79 Median $9.12 Typical High $10,232.93 | Professional | None | $4.79 | $9.12 | $10,232.93 |
United Setting Facility Modifier None Typical Low $112.20 Median $123.03 Typical High $275.42 | Facility | None | $112.20 | $123.03 | $275.42 |
United Setting Professional Modifier None Typical Low $2.24 Median $3.24 Typical High $5.62 | Professional | None | $2.24 | $3.24 | $5.62 |
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 $2.04 Median $2.45 Typical High $2.51 | Professional | 52 · Reduced service | $2.04 | $2.45 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $1.00 Typical High $1.02 | Professional | 53 · Discontinued | $0.81 | $1.00 | $1.02 |
Where Virginia sits
The same service costs 11.2 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· 45th of 51
$4.47
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.