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 $7.08 Median $14.45 Typical High $25.12 | Facility | None | $7.08 | $14.45 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $8.91 Typical High $23.44 | Professional | None | $7.08 | $8.91 | $23.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $46.77 | Facility | None | $9.55 | $9.55 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $5.62 Typical High $7.24 | Professional | None | $4.68 | $5.62 | $7.24 |
CareFirst Setting Professional Modifier None Typical Low $6.76 Median $7.59 Typical High $13.18 | Professional | None | $6.76 | $7.59 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $22.91 Typical High $37.15 | Facility | None | $9.55 | $22.91 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $7.24 Typical High $13.49 | Professional | None | $5.25 | $7.24 | $13.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.55 Median $11.48 Typical High $14.13 | Professional | None | $9.55 | $11.48 | $14.13 |
Medcost Setting Professional Modifier None Typical Low $7.76 Median $15.85 Typical High $18.62 | Professional | None | $7.76 | $15.85 | $18.62 |
Medcost Setting Facility Modifier None Typical Low $7.94 Median $8.91 Typical High $19.05 | Facility | None | $7.94 | $8.91 | $19.05 |
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 $8.51 Median $15.49 Typical High $7,413.10 | Facility | None | $8.51 | $15.49 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $8.51 Median $15.85 Typical High $10,232.93 | Professional | None | $8.51 | $15.85 | $10,232.93 |
United Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $36.31 | Facility | None | $11.48 | $11.48 | $36.31 |
United Setting Professional Modifier None Typical Low $3.98 Median $5.62 Typical High $10.00 | Professional | None | $3.98 | $5.62 | $10.00 |
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 $3.55 Median $4.37 Typical High $4.47 | Professional | 52 · Reduced service | $3.55 | $4.37 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.74 Typical High $1.78 | Professional | 53 · Discontinued | $1.41 | $1.74 | $1.78 |
Where Virginia sits
The same service costs 15.8 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· 38th of 51
$8.51
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.