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 $2.63 Median $5.62 Typical High $8.13 | Facility | None | $2.63 | $5.62 | $8.13 |
Aetna Setting Professional Modifier None Typical Low $2.63 Median $3.63 Typical High $6.92 | Professional | None | $2.63 | $3.63 | $6.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.47 Median $3.47 Typical High $16.98 | Facility | None | $3.47 | $3.47 | $16.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.70 Median $2.09 Typical High $2.69 | Professional | None | $1.70 | $2.09 | $2.69 |
CareFirst Setting Professional Modifier None Typical Low $2.51 Median $2.75 Typical High $3.55 | Professional | None | $2.51 | $2.75 | $3.55 |
Cigna Setting Facility Modifier None Typical Low $3.55 Median $6.61 Typical High $10.47 | Facility | None | $3.55 | $6.61 | $10.47 |
Cigna Setting Professional Modifier None Typical Low $1.66 Median $2.82 Typical High $5.13 | Professional | None | $1.66 | $2.82 | $5.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.47 Median $4.17 Typical High $5.13 | Professional | None | $3.47 | $4.17 | $5.13 |
Medcost Setting Professional Modifier None Typical Low $2.14 Median $4.27 Typical High $5.01 | Professional | None | $2.14 | $4.27 | $5.01 |
Medcost Setting Facility Modifier None Typical Low $2.14 Median $2.75 Typical High $5.01 | Facility | None | $2.14 | $2.75 | $5.01 |
Medcost Setting Professional Modifier None Typical Low $2.00 Median $2.29 Typical High $2.29 | Professional | None | $2.00 | $2.29 | $2.29 |
Sentara Setting Facility Modifier None Typical Low $2.51 Median $4.47 Typical High $7,413.10 | Facility | None | $2.51 | $4.47 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $2.69 Median $4.37 Typical High $4,570.88 | Professional | None | $2.69 | $4.37 | $4,570.88 |
United Setting Facility Modifier None Typical Low $4.17 Median $4.17 Typical High $4.17 | Facility | None | $4.17 | $4.17 | $4.17 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.24 Typical High $3.55 | Professional | None | $2.09 | $2.24 | $3.55 |
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 $1.32 Median $1.48 Typical High $1.55 | Professional | 52 · Reduced service | $1.32 | $1.48 | $1.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.59 Typical High $0.62 | Professional | 53 · Discontinued | $0.52 | $0.59 | $0.62 |
Where Virginia sits
The same service costs 3.5 times more in Alaska 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· 43rd of 51
$2.95
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.