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 $6.03 Median $11.22 Typical High $20.89 | Facility | None | $6.03 | $11.22 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $7.08 Typical High $9.77 | Professional | None | $6.03 | $7.08 | $9.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $39.81 | Facility | None | $8.13 | $8.13 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.98 Median $4.90 Typical High $6.17 | Professional | None | $3.98 | $4.90 | $6.17 |
CareFirst Setting Professional Modifier None Typical Low $5.75 Median $6.46 Typical High $11.22 | Professional | None | $5.75 | $6.46 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $19.50 Typical High $32.36 | Facility | None | $8.32 | $19.50 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $6.17 Typical High $11.75 | Professional | None | $4.47 | $6.17 | $11.75 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.13 Median $9.77 Typical High $12.02 | Professional | None | $8.13 | $9.77 | $12.02 |
Medcost Setting Professional Modifier None Typical Low $6.76 Median $13.49 Typical High $15.85 | Professional | None | $6.76 | $13.49 | $15.85 |
Medcost Setting Facility Modifier None Typical Low $6.76 Median $7.59 Typical High $16.60 | Facility | None | $6.76 | $7.59 | $16.60 |
Medcost Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
Sentara Setting Facility Modifier None Typical Low $7.24 Median $12.30 Typical High $10,232.93 | Facility | None | $7.24 | $12.30 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $7.24 Median $12.30 Typical High $10,232.93 | Professional | None | $7.24 | $12.30 | $10,232.93 |
United Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $60.26 | Facility | None | $9.77 | $9.77 | $60.26 |
United Setting Professional Modifier None Typical Low $3.39 Median $4.79 Typical High $8.51 | Professional | None | $3.39 | $4.79 | $8.51 |
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 $3.02 Median $3.72 Typical High $3.80 | Professional | 52 · Reduced service | $3.02 | $3.72 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.48 Typical High $1.51 | Professional | 53 · Discontinued | $1.20 | $1.48 | $1.51 |
Where Virginia sits
The same service costs 5.6 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· 48th of 51
$6.46
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.