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 $2.40 Median $4.79 Typical High $8.51 | Facility | None | $2.40 | $4.79 | $8.51 |
Aetna Setting Professional Modifier None Typical Low $2.40 Median $3.47 Typical High $8.13 | Professional | None | $2.40 | $3.47 | $8.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.16 Median $3.16 Typical High $15.49 | Facility | None | $3.16 | $3.16 | $15.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.58 Median $2.19 Typical High $2.45 | Professional | None | $1.58 | $2.19 | $2.45 |
CareFirst Setting Professional Modifier None Typical Low $2.29 Median $2.51 Typical High $4.47 | Professional | None | $2.29 | $2.51 | $4.47 |
Cigna Setting Facility Modifier None Typical Low $3.24 Median $7.59 Typical High $12.30 | Facility | None | $3.24 | $7.59 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $1.86 Median $3.09 Typical High $4.68 | Professional | None | $1.86 | $3.09 | $4.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.16 Median $3.80 Typical High $4.68 | Professional | None | $3.16 | $3.80 | $4.68 |
Medcost Setting Professional Modifier None Typical Low $2.63 Median $5.37 Typical High $6.17 | Professional | None | $2.63 | $5.37 | $6.17 |
Medcost Setting Facility Modifier None Typical Low $2.63 Median $2.88 Typical High $6.61 | Facility | None | $2.63 | $2.88 | $6.61 |
Medcost Setting Professional Modifier None Typical Low $2.40 Median $2.88 Typical High $2.88 | Professional | None | $2.40 | $2.88 | $2.88 |
Sentara Setting Facility Modifier None Typical Low $2.82 Median $5.37 Typical High $7,413.10 | Facility | None | $2.82 | $5.37 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $2.82 Median $4.57 Typical High $4,570.88 | Professional | None | $2.82 | $4.57 | $4,570.88 |
United Setting Facility Modifier None Typical Low $1.12 Median $1.12 Typical High $3.80 | Facility | None | $1.12 | $1.12 | $3.80 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.63 Typical High $4.47 | Professional | None | $1.91 | $2.63 | $4.47 |
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 $1.20 Median $1.45 Typical High $1.51 | Professional | 52 · Reduced service | $1.20 | $1.45 | $1.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.48 Median $0.58 Typical High $0.60 | Professional | 53 · Discontinued | $0.48 | $0.58 | $0.60 |
Where Virginia sits
The same service costs 22.4 times more in Minnesota than in Washington, DC. 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· 42nd of 51
$3.16
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.