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 $3.80 Median $7.76 Typical High $13.80 | Facility | None | $3.80 | $7.76 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $4.79 Typical High $12.02 | Professional | None | $3.80 | $4.79 | $12.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $25.12 | Facility | None | $5.13 | $5.13 | $25.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.51 Median $3.02 Typical High $3.89 | Professional | None | $2.51 | $3.02 | $3.89 |
CareFirst Setting Professional Modifier None Typical Low $3.72 Median $4.07 Typical High $7.08 | Professional | None | $3.72 | $4.07 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $5.25 Median $12.59 Typical High $19.95 | Facility | None | $5.25 | $12.59 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $2.88 Median $4.37 Typical High $7.41 | Professional | None | $2.88 | $4.37 | $7.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.13 Median $6.17 Typical High $7.59 | Professional | None | $5.13 | $6.17 | $7.59 |
Medcost Setting Professional Modifier None Typical Low $4.27 Median $8.51 Typical High $10.00 | Professional | None | $4.27 | $8.51 | $10.00 |
Medcost Setting Facility Modifier None Typical Low $4.27 Median $4.79 Typical High $10.72 | Facility | None | $4.27 | $4.79 | $10.72 |
Medcost Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $4.79 | Professional | None | $4.37 | $4.37 | $4.79 |
Sentara Setting Facility Modifier None Typical Low $4.57 Median $8.71 Typical High $7,413.10 | Facility | None | $4.57 | $8.71 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $4.57 Median $8.71 Typical High $7,413.10 | Professional | None | $4.57 | $8.71 | $7,413.10 |
United Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $10.47 | Facility | None | $6.17 | $6.17 | $10.47 |
United Setting Professional Modifier None Typical Low $2.14 Median $3.09 Typical High $5.37 | Professional | None | $2.14 | $3.09 | $5.37 |
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 $1.91 Median $2.34 Typical High $2.40 | Professional | 52 · Reduced service | $1.91 | $2.34 | $2.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.93 Typical High $0.98 | Professional | 53 · Discontinued | $0.78 | $0.93 | $0.98 |
Where Virginia sits
The same service costs 9.5 times more in Minnesota than in New Jersey. 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· 41st of 51
$4.68
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.