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 $8.91 Median $18.20 Typical High $32.36 | Facility | None | $8.91 | $18.20 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $10.72 Typical High $11.22 | Professional | None | $7.24 | $10.72 | $11.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $58.88 | Facility | None | $12.02 | $12.02 | $58.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $7.24 Typical High $9.12 | Professional | None | $5.89 | $7.24 | $9.12 |
CareFirst Setting Professional Modifier None Typical Low $8.71 Median $9.55 Typical High $15.49 | Professional | None | $8.71 | $9.55 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $28.84 Typical High $47.86 | Facility | None | $12.30 | $28.84 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $10.47 Typical High $16.98 | Professional | None | $7.08 | $10.47 | $16.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.02 Median $14.45 Typical High $17.78 | Professional | None | $12.02 | $14.45 | $17.78 |
Medcost Setting Professional Modifier None Typical Low $10.00 Median $19.95 Typical High $23.44 | Professional | None | $10.00 | $19.95 | $23.44 |
Medcost Setting Facility Modifier None Typical Low $10.00 Median $11.22 Typical High $24.55 | Facility | None | $10.00 | $11.22 | $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 $10.72 Median $20.42 Typical High $7,413.10 | Facility | None | $10.72 | $20.42 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $10.72 Median $20.42 Typical High $10,232.93 | Professional | None | $10.72 | $20.42 | $10,232.93 |
United Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.08 Typical High $12.02 | Professional | None | $5.01 | $7.08 | $12.02 |
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 $4.47 Median $5.50 Typical High $5.62 | Professional | 52 · Reduced service | $4.47 | $5.50 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $2.19 Typical High $2.24 | Professional | 53 · Discontinued | $1.82 | $2.19 | $2.24 |
Where Virginia sits
The same service costs 5.5 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· 37th of 51
$10.72
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.