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 $3.55 Median $3.98 Typical High $10.96 | Facility | None | $3.55 | $3.98 | $10.96 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $3.98 Typical High $4.17 | Professional | None | $3.55 | $3.98 | $4.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $22.91 | Facility | None | $4.68 | $4.68 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.86 Median $2.75 Typical High $3.63 | Professional | None | $1.86 | $2.75 | $3.63 |
CareFirst Setting Professional Modifier None Typical Low $3.39 Median $3.80 Typical High $5.13 | Professional | None | $3.39 | $3.80 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $9.55 Typical High $14.13 | Facility | None | $4.79 | $9.55 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $3.02 Typical High $6.46 | Professional | None | $2.29 | $3.02 | $6.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.68 Median $5.62 Typical High $6.92 | Professional | None | $4.68 | $5.62 | $6.92 |
Medcost Setting Professional Modifier None Typical Low $3.02 Median $6.17 Typical High $7.24 | Professional | None | $3.02 | $6.17 | $7.24 |
Medcost Setting Facility Modifier None Typical Low $3.09 Median $3.80 Typical High $7.59 | Facility | None | $3.09 | $3.80 | $7.59 |
Medcost Setting Professional Modifier None Typical Low $2.88 Median $3.09 Typical High $3.09 | Professional | None | $2.88 | $3.09 | $3.09 |
Sentara Setting Facility Modifier None Typical Low $3.80 Median $6.17 Typical High $10,232.93 | Facility | None | $3.80 | $6.17 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $3.80 Median $6.46 Typical High $10,232.93 | Professional | None | $3.80 | $6.46 | $10,232.93 |
United Setting Facility Modifier None Typical Low $5.62 Median $5.62 Typical High $123.03 | Facility | None | $5.62 | $5.62 | $123.03 |
United Setting Professional Modifier None Typical Low $2.82 Median $3.24 Typical High $5.13 | Professional | None | $2.82 | $3.24 | $5.13 |
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 $1.78 Median $2.00 Typical High $2.09 | Professional | 52 · Reduced service | $1.78 | $2.00 | $2.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.79 Typical High $0.83 | Professional | 53 · Discontinued | $0.71 | $0.79 | $0.83 |
Where Virginia sits
The same service costs 4.8 times more in Kansas 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· 45th of 51
$3.80
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.