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 $4.47 Median $8.51 Typical High $15.49 | Facility | None | $4.47 | $8.51 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $5.50 Typical High $9.12 | Professional | None | $4.47 | $5.50 | $9.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $29.51 | Facility | None | $6.03 | $6.03 | $29.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.95 Median $3.63 Typical High $4.68 | Professional | None | $2.95 | $3.63 | $4.68 |
CareFirst Setting Professional Modifier None Typical Low $4.37 Median $4.79 Typical High $8.51 | Professional | None | $4.37 | $4.79 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $14.13 Typical High $23.44 | Facility | None | $6.17 | $14.13 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $4.68 Typical High $8.71 | Professional | None | $3.39 | $4.68 | $8.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.03 Median $7.24 Typical High $8.91 | Professional | None | $6.03 | $7.24 | $8.91 |
Medcost Setting Professional Modifier None Typical Low $5.01 Median $10.00 Typical High $11.75 | Professional | None | $5.01 | $10.00 | $11.75 |
Medcost Setting Facility Modifier None Typical Low $4.79 Median $5.50 Typical High $12.02 | Facility | None | $4.79 | $5.50 | $12.02 |
Medcost Setting Professional Modifier None Typical Low $4.57 Median $5.25 Typical High $5.25 | Professional | None | $4.57 | $5.25 | $5.25 |
Sentara Setting Facility Modifier None Typical Low $5.37 Median $10.00 Typical High $7,413.10 | Facility | None | $5.37 | $10.00 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $5.37 Median $10.00 Typical High $10,232.93 | Professional | None | $5.37 | $10.00 | $10,232.93 |
United Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $22.39 | Facility | None | $7.24 | $7.24 | $22.39 |
United Setting Professional Modifier None Typical Low $2.51 Median $3.63 Typical High $6.31 | Professional | None | $2.51 | $3.63 | $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 $2.24 Median $2.75 Typical High $2.82 | Professional | 52 · Reduced service | $2.24 | $2.75 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $1.12 Typical High $1.12 | Professional | 53 · Discontinued | $0.89 | $1.12 | $1.12 |
Where Virginia sits
The same service costs 4.3 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· 44th of 51
$4.90
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.