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 $3.39 Median $4.47 Typical High $11.75 | Facility | None | $3.39 | $4.47 | $11.75 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.98 Typical High $4.27 | Professional | None | $3.39 | $3.98 | $4.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.47 Median $4.47 Typical High $22.39 | Facility | None | $4.47 | $4.47 | $22.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.24 Median $2.75 Typical High $3.47 | Professional | None | $2.24 | $2.75 | $3.47 |
CareFirst Setting Professional Modifier None Typical Low $3.24 Median $3.63 Typical High $4.07 | Professional | None | $3.24 | $3.63 | $4.07 |
Cigna Setting Facility Modifier None Typical Low $4.57 Median $10.96 Typical High $18.20 | Facility | None | $4.57 | $10.96 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $3.47 Typical High $6.31 | Professional | None | $2.51 | $3.47 | $6.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.47 Median $5.37 Typical High $6.76 | Professional | None | $4.47 | $5.37 | $6.76 |
Medcost Setting Professional Modifier None Typical Low $3.72 Median $7.59 Typical High $8.91 | Professional | None | $3.72 | $7.59 | $8.91 |
Medcost Setting Facility Modifier None Typical Low $3.72 Median $4.27 Typical High $9.12 | Facility | None | $3.72 | $4.27 | $9.12 |
Medcost Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $6.46 | Professional | None | $3.89 | $3.89 | $6.46 |
Sentara Setting Facility Modifier None Typical Low $4.07 Median $7.59 Typical High $7,413.10 | Facility | None | $4.07 | $7.59 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $4.07 Median $7.59 Typical High $10,232.93 | Professional | None | $4.07 | $7.59 | $10,232.93 |
United Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $10.47 | Facility | None | $5.37 | $5.37 | $10.47 |
United Setting Professional Modifier None Typical Low $1.70 Median $2.57 Typical High $4.47 | Professional | None | $1.70 | $2.57 | $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 $1.70 Median $2.09 Typical High $2.14 | Professional | 52 · Reduced service | $1.70 | $2.09 | $2.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.83 Typical High $0.85 | Professional | 53 · Discontinued | $0.68 | $0.83 | $0.85 |
Where Virginia sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 47th of 51
$3.63
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.