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 $4.68 Median $8.71 Typical High $14.45 | Facility | None | $4.68 | $8.71 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $5.50 Typical High $12.30 | Professional | None | $4.68 | $5.50 | $12.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $30.20 | Facility | None | $6.17 | $6.17 | $30.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.02 Median $3.72 Typical High $4.79 | Professional | None | $3.02 | $3.72 | $4.79 |
CareFirst Setting Professional Modifier None Typical Low $3.55 Median $5.01 Typical High $5.01 | Professional | None | $3.55 | $5.01 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $12.02 Typical High $18.20 | Facility | None | $6.31 | $12.02 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $5.01 Typical High $8.71 | Professional | None | $3.02 | $5.01 | $8.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.17 Median $7.41 Typical High $9.12 | Professional | None | $6.17 | $7.41 | $9.12 |
Medcost Setting Professional Modifier None Typical Low $2.51 Median $7.59 Typical High $8.91 | Professional | None | $2.51 | $7.59 | $8.91 |
Medcost Setting Facility Modifier None Typical Low $3.80 Median $5.25 Typical High $9.55 | Facility | None | $3.80 | $5.25 | $9.55 |
Medcost Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $12.02 | Professional | None | $3.89 | $3.89 | $12.02 |
Sentara Setting Facility Modifier None Typical Low $5.01 Median $7.41 Typical High $10,232.93 | Facility | None | $5.01 | $7.41 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $5.01 Median $7.41 Typical High $10,232.93 | Professional | None | $5.01 | $7.41 | $10,232.93 |
United Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Facility | None | $7.41 | $7.41 | $7.41 |
United Setting Professional Modifier None Typical Low $2.14 Median $3.98 Typical High $6.31 | Professional | None | $2.14 | $3.98 | $6.31 |
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 $2.34 Median $2.63 Typical High $2.75 | Professional | 52 · Reduced service | $2.34 | $2.63 | $2.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $1.07 Typical High $1.12 | Professional | 53 · Discontinued | $0.93 | $1.07 | $1.12 |
Where Virginia sits
The same service costs 3.5 times more in Alaska 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
$5.25
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.