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 $6.46 Median $13.18 Typical High $22.91 | Facility | None | $6.46 | $13.18 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $8.13 Typical High $22.91 | Professional | None | $6.46 | $8.13 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $42.66 | Facility | None | $8.71 | $8.71 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.27 Median $5.25 Typical High $6.61 | Professional | None | $4.27 | $5.25 | $6.61 |
CareFirst Setting Professional Modifier None Typical Low $6.17 Median $6.92 Typical High $12.02 | Professional | None | $6.17 | $6.92 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $20.42 Typical High $33.88 | Facility | None | $8.71 | $20.42 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $6.61 Typical High $12.30 | Professional | None | $4.79 | $6.61 | $12.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.71 Median $10.23 Typical High $12.88 | Professional | None | $8.71 | $10.23 | $12.88 |
Medcost Setting Professional Modifier None Typical Low $7.08 Median $14.45 Typical High $16.98 | Professional | None | $7.08 | $14.45 | $16.98 |
Medcost Setting Facility Modifier None Typical Low $7.08 Median $8.13 Typical High $17.78 | Facility | None | $7.08 | $8.13 | $17.78 |
Medcost Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Sentara Setting Facility Modifier None Typical Low $7.76 Median $14.13 Typical High $7,413.10 | Facility | None | $7.76 | $14.13 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $7.76 Median $14.45 Typical High $10,232.93 | Professional | None | $7.76 | $14.45 | $10,232.93 |
United Setting Facility Modifier None Typical Low $2.95 Median $10.23 Typical High $36.31 | Facility | None | $2.95 | $10.23 | $36.31 |
United Setting Professional Modifier None Typical Low $3.63 Median $5.13 Typical High $9.12 | Professional | None | $3.63 | $5.13 | $9.12 |
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 $3.24 Median $3.98 Typical High $4.07 | Professional | 52 · Reduced service | $3.24 | $3.98 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.58 Typical High $1.62 | Professional | 53 · Discontinued | $1.29 | $1.58 | $1.62 |
Where Virginia sits
The same service costs 10.2 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· 40th of 51
$7.76
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.