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 $6.46 Median $12.02 Typical High $16.98 | Facility | None | $6.46 | $12.02 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $9.12 Typical High $16.22 | Professional | None | $6.46 | $9.12 | $16.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $42.66 | Facility | None | $8.71 | $8.71 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.17 Median $5.13 Typical High $6.61 | Professional | None | $4.17 | $5.13 | $6.61 |
CareFirst Setting Professional Modifier None Typical Low $6.17 Median $6.92 Typical High $8.91 | Professional | None | $6.17 | $6.92 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $16.60 Typical High $25.12 | Facility | None | $8.71 | $16.60 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $6.92 Typical High $12.30 | Professional | None | $4.27 | $6.92 | $12.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.71 Median $10.23 Typical High $12.88 | Professional | None | $8.71 | $10.23 | $12.88 |
Medcost Setting Professional Modifier None Typical Low $5.25 Median $10.72 Typical High $12.30 | Professional | None | $5.25 | $10.72 | $12.30 |
Medcost Setting Facility Modifier None Typical Low $5.25 Median $6.92 Typical High $13.18 | Facility | None | $5.25 | $6.92 | $13.18 |
Medcost Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $12.30 | Professional | None | $5.75 | $5.75 | $12.30 |
Sentara Setting Facility Modifier None Typical Low $6.03 Median $11.22 Typical High $7,413.10 | Facility | None | $6.03 | $11.22 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $6.17 Median $10.47 Typical High $4,570.88 | Professional | None | $6.17 | $10.47 | $4,570.88 |
United Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
United Setting Professional Modifier None Typical Low $5.13 Median $5.62 Typical High $8.91 | Professional | None | $5.13 | $5.62 | $8.91 |
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 $3.24 Median $3.63 Typical High $3.80 | Professional | 52 · Reduced service | $3.24 | $3.63 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.45 Typical High $1.51 | Professional | 53 · Discontinued | $1.29 | $1.45 | $1.51 |
Where Virginia sits
The same service costs 15.8 times more in Minnesota than in Alabama. 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· 40th of 51
$7.24
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.