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 $7.76 Median $15.85 Typical High $27.54 | Facility | None | $7.76 | $15.85 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $9.77 Typical High $25.12 | Professional | None | $7.76 | $9.77 | $25.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $50.12 | Facility | None | $10.23 | $10.23 | $50.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.13 Median $6.31 Typical High $7.94 | Professional | None | $5.13 | $6.31 | $7.94 |
CareFirst Setting Professional Modifier None Typical Low $7.41 Median $8.32 Typical High $14.45 | Professional | None | $7.41 | $8.32 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $25.12 Typical High $40.74 | Facility | None | $10.47 | $25.12 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $7.94 Typical High $15.14 | Professional | None | $5.75 | $7.94 | $15.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.23 Median $12.30 Typical High $15.14 | Professional | None | $10.23 | $12.30 | $15.14 |
Medcost Setting Professional Modifier None Typical Low $8.51 Median $17.38 Typical High $20.42 | Professional | None | $8.51 | $17.38 | $20.42 |
Medcost Setting Facility Modifier None Typical Low $8.51 Median $9.77 Typical High $21.38 | Facility | None | $8.51 | $9.77 | $21.38 |
Medcost Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
Sentara Setting Facility Modifier None Typical Low $9.33 Median $15.14 Typical High $4,570.88 | Facility | None | $9.33 | $15.14 | $4,570.88 |
Sentara Setting Professional Modifier None Typical Low $9.33 Median $15.14 Typical High $4,570.88 | Professional | None | $9.33 | $15.14 | $4,570.88 |
United Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
United Setting Professional Modifier None Typical Low $4.37 Median $6.17 Typical High $10.72 | Professional | None | $4.37 | $6.17 | $10.72 |
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 $3.89 Median $4.79 Typical High $4.90 | Professional | 52 · Reduced service | $3.89 | $4.79 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $1.91 Typical High $1.95 | Professional | 53 · Discontinued | $1.55 | $1.91 | $1.95 |
Where Virginia sits
The same service costs 12.6 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· 39th of 51
$9.33
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.