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 $10.23 Median $17.38 Typical High $31.62 | Facility | None | $10.23 | $17.38 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $11.48 Typical High $18.62 | Professional | None | $10.23 | $11.48 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $66.07 | Facility | None | $13.49 | $13.49 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $7.94 Typical High $10.47 | Professional | None | $5.89 | $7.94 | $10.47 |
CareFirst Setting Professional Modifier None Typical Low $9.77 Median $10.96 Typical High $15.49 | Professional | None | $9.77 | $10.96 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $30.90 Typical High $47.86 | Facility | None | $13.80 | $30.90 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $9.77 Typical High $19.50 | Professional | None | $6.76 | $9.77 | $19.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.49 Median $16.22 Typical High $19.95 | Professional | None | $13.49 | $16.22 | $19.95 |
Medcost Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $23.44 | Professional | None | $19.95 | $19.95 | $23.44 |
Medcost Setting Facility Modifier None Typical Low $10.00 Median $13.49 Typical High $24.55 | Facility | None | $10.00 | $13.49 | $24.55 |
Medcost Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
Sentara Setting Facility Modifier None Typical Low $10.96 Median $18.62 Typical High $10,232.93 | Facility | None | $10.96 | $18.62 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $10.96 Median $18.62 Typical High $10,232.93 | Professional | None | $10.96 | $18.62 | $10,232.93 |
United Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
United Setting Professional Modifier None Typical Low $5.75 Median $7.41 Typical High $13.49 | Professional | None | $5.75 | $7.41 | $13.49 |
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 $5.13 Median $5.75 Typical High $6.03 | Professional | 52 · Reduced service | $5.13 | $5.75 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.29 Typical High $2.40 | Professional | 53 · Discontinued | $2.04 | $2.29 | $2.40 |
Where Virginia sits
The same service costs 4.6 times more in Vermont than in New Jersey. 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· 39th of 51
$10.96
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.