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 $2.24 Median $4.57 Typical High $7.94 | Facility | None | $2.24 | $4.57 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $2.24 Median $2.82 Typical High $7.94 | Professional | None | $2.24 | $2.82 | $7.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $14.79 | Facility | None | $3.02 | $3.02 | $14.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.48 Median $1.78 Typical High $2.29 | Professional | None | $1.48 | $1.78 | $2.29 |
CareFirst Setting Professional Modifier None Typical Low $2.14 Median $2.40 Typical High $4.17 | Professional | None | $2.14 | $2.40 | $4.17 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $7.08 Typical High $11.48 | Facility | None | $3.02 | $7.08 | $11.48 |
Cigna Setting Professional Modifier None Typical Low $1.62 Median $2.29 Typical High $4.17 | Professional | None | $1.62 | $2.29 | $4.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.02 Median $3.63 Typical High $4.47 | Professional | None | $3.02 | $3.63 | $4.47 |
Medcost Setting Professional Modifier None Typical Low $2.45 Median $5.01 Typical High $5.89 | Professional | None | $2.45 | $5.01 | $5.89 |
Medcost Setting Facility Modifier None Typical Low $2.45 Median $2.82 Typical High $6.03 | Facility | None | $2.45 | $2.82 | $6.03 |
Medcost Setting Professional Modifier None Typical Low $3.02 Median $4.79 Typical High $4.79 | Professional | None | $3.02 | $4.79 | $4.79 |
Sentara Setting Facility Modifier None Typical Low $2.69 Median $5.13 Typical High $7,413.10 | Facility | None | $2.69 | $5.13 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $2.69 Median $5.13 Typical High $7,413.10 | Professional | None | $2.69 | $5.13 | $7,413.10 |
United Setting Facility Modifier None Typical Low $251.19 Median $275.42 Typical High $616.60 | Facility | None | $251.19 | $275.42 | $616.60 |
United Setting Professional Modifier None Typical Low $1.26 Median $1.78 Typical High $3.16 | Professional | None | $1.26 | $1.78 | $3.16 |
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 $1.12 Median $1.38 Typical High $1.41 | Professional | 52 · Reduced service | $1.12 | $1.38 | $1.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.45 Median $0.55 Typical High $0.56 | Professional | 53 · Discontinued | $0.45 | $0.55 | $0.56 |
Where Virginia sits
The same service costs 47.9 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· 41st of 51
$2.82
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.