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 $5.89 Median $10.72 Typical High $18.20 | Facility | None | $5.89 | $10.72 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $6.61 Typical High $10.00 | Professional | None | $5.75 | $6.61 | $10.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $38.02 | Facility | None | $7.76 | $7.76 | $38.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.09 Median $4.57 Typical High $5.89 | Professional | None | $3.09 | $4.57 | $5.89 |
CareFirst Setting Professional Modifier None Typical Low $2.45 Median $6.17 Typical High $6.17 | Professional | None | $2.45 | $6.17 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $15.14 Typical High $21.38 | Facility | None | $7.94 | $15.14 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $4.68 Typical High $9.12 | Professional | None | $3.47 | $4.68 | $9.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.76 Median $9.33 Typical High $11.48 | Professional | None | $7.76 | $9.33 | $11.48 |
Medcost Setting Professional Modifier None Typical Low $4.27 Median $8.71 Typical High $10.23 | Professional | None | $4.27 | $8.71 | $10.23 |
Medcost Setting Facility Modifier None Typical Low $4.47 Median $6.61 Typical High $10.72 | Facility | None | $4.47 | $6.61 | $10.72 |
Medcost Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $8.32 | Professional | None | $4.47 | $4.47 | $8.32 |
Sentara Setting Facility Modifier None Typical Low $5.50 Median $9.33 Typical High $10,232.93 | Facility | None | $5.50 | $9.33 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $5.62 Median $9.33 Typical High $10,232.93 | Professional | None | $5.62 | $9.33 | $10,232.93 |
United Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
United Setting Professional Modifier None Typical Low $1.02 Median $3.55 Typical High $5.01 | Professional | None | $1.02 | $3.55 | $5.01 |
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 $2.95 Median $3.31 Typical High $3.47 | Professional | 52 · Reduced service | $2.95 | $3.31 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.17 Median $1.32 Typical High $1.38 | Professional | 53 · Discontinued | $1.17 | $1.32 | $1.38 |
Where Virginia sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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
$5.89
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.