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 $3.47 Median $6.46 Typical High $12.02 | Facility | None | $3.47 | $6.46 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $4.37 Typical High $6.76 | Professional | None | $3.47 | $4.37 | $6.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.57 Median $4.57 Typical High $22.39 | Facility | None | $4.57 | $4.57 | $22.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.29 Median $2.69 Typical High $3.55 | Professional | None | $2.29 | $2.69 | $3.55 |
CareFirst Setting Professional Modifier None Typical Low $3.31 Median $3.72 Typical High $6.46 | Professional | None | $3.31 | $3.72 | $6.46 |
Cigna Setting Facility Modifier None Typical Low $4.68 Median $10.96 Typical High $18.20 | Facility | None | $4.68 | $10.96 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $3.55 Typical High $6.76 | Professional | None | $2.51 | $3.55 | $6.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.57 Median $5.50 Typical High $6.76 | Professional | None | $4.57 | $5.50 | $6.76 |
Medcost Setting Professional Modifier None Typical Low $3.80 Median $7.76 Typical High $8.91 | Professional | None | $3.80 | $7.76 | $8.91 |
Medcost Setting Facility Modifier None Typical Low $3.80 Median $4.37 Typical High $9.55 | Facility | None | $3.80 | $4.37 | $9.55 |
Medcost Setting Professional Modifier None Typical Low $3.72 Median $3.98 Typical High $3.98 | Professional | None | $3.72 | $3.98 | $3.98 |
Sentara Setting Facility Modifier None Typical Low $4.17 Median $7.41 Typical High $7,413.10 | Facility | None | $4.17 | $7.41 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $4.17 Median $7.59 Typical High $7,413.10 | Professional | None | $4.17 | $7.59 | $7,413.10 |
United Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
United Setting Professional Modifier None Typical Low $1.95 Median $2.75 Typical High $4.79 | Professional | None | $1.95 | $2.75 | $4.79 |
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 $1.74 Median $2.14 Typical High $2.19 | Professional | 52 · Reduced service | $1.74 | $2.14 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $0.85 Typical High $0.87 | Professional | 53 · Discontinued | $0.69 | $0.85 | $0.87 |
Where Virginia sits
The same service costs 4.4 times more in Minnesota 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· 45th of 51
$3.80
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.