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 $3.89 Median $9.55 Typical High $13.80 | Facility | None | $3.89 | $9.55 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $4.79 Typical High $7.24 | Professional | None | $3.89 | $4.79 | $7.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $25.12 | Facility | None | $5.13 | $5.13 | $25.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.57 Median $3.09 Typical High $3.98 | Professional | None | $2.57 | $3.09 | $3.98 |
CareFirst Setting Professional Modifier None Typical Low $3.72 Median $4.17 Typical High $7.24 | Professional | None | $3.72 | $4.17 | $7.24 |
Cigna Setting Facility Modifier None Typical Low $5.25 Median $12.59 Typical High $20.89 | Facility | None | $5.25 | $12.59 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $2.88 Median $3.98 Typical High $7.24 | Professional | None | $2.88 | $3.98 | $7.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.13 Median $6.17 Typical High $7.59 | Professional | None | $5.13 | $6.17 | $7.59 |
Medcost Setting Professional Modifier None Typical Low $3.55 Median $8.71 Typical High $10.23 | Professional | None | $3.55 | $8.71 | $10.23 |
Medcost Setting Facility Modifier None Typical Low $4.27 Median $4.90 Typical High $10.72 | Facility | None | $4.27 | $4.90 | $10.72 |
Medcost Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Sentara Setting Facility Modifier None Typical Low $4.68 Median $8.71 Typical High $7,413.10 | Facility | None | $4.68 | $8.71 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $4.68 Median $8.71 Typical High $10,232.93 | Professional | None | $4.68 | $8.71 | $10,232.93 |
United Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $8.91 | Facility | None | $6.17 | $6.17 | $8.91 |
United Setting Professional Modifier None Typical Low $2.19 Median $3.09 Typical High $5.37 | Professional | None | $2.19 | $3.09 | $5.37 |
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 $1.95 Median $2.40 Typical High $2.45 | Professional | 52 · Reduced service | $1.95 | $2.40 | $2.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.95 Typical High $0.98 | Professional | 53 · Discontinued | $0.78 | $0.95 | $0.98 |
Where Virginia sits
The same service costs 9.3 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· 43rd of 51
$4.37
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.