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 $3.02 Median $3.39 Typical High $9.33 | Facility | None | $3.02 | $3.39 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.39 Typical High $3.55 | Professional | None | $3.02 | $3.39 | $3.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $19.50 | Facility | None | $3.98 | $3.98 | $19.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.95 Median $2.45 Typical High $2.95 | Professional | None | $1.95 | $2.45 | $2.95 |
CareFirst Setting Professional Modifier None Typical Low $2.88 Median $3.24 Typical High $3.31 | Professional | None | $2.88 | $3.24 | $3.31 |
Cigna Setting Facility Modifier None Typical Low $4.07 Median $7.94 Typical High $10.23 | Facility | None | $4.07 | $7.94 | $10.23 |
Cigna Setting Professional Modifier None Typical Low $1.66 Median $3.16 Typical High $4.57 | Professional | None | $1.66 | $3.16 | $4.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.98 Median $4.79 Typical High $5.89 | Professional | None | $3.98 | $4.79 | $5.89 |
Medcost Setting Professional Modifier None Typical Low $1.95 Median $3.98 Typical High $4.57 | Professional | None | $1.95 | $3.98 | $4.57 |
Medcost Setting Facility Modifier None Typical Low $2.00 Median $3.24 Typical High $5.01 | Facility | None | $2.00 | $3.24 | $5.01 |
Medcost Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $3.72 | Professional | None | $2.04 | $2.04 | $3.72 |
Sentara Setting Facility Modifier None Typical Low $2.69 Median $3.98 Typical High $18.62 | Facility | None | $2.69 | $3.98 | $18.62 |
Sentara Setting Professional Modifier None Typical Low $2.82 Median $4.47 Typical High $7,413.10 | Professional | None | $2.82 | $4.47 | $7,413.10 |
United Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Facility | None | $4.79 | $4.79 | $4.79 |
United Setting Professional Modifier None Typical Low $1.95 Median $2.57 Typical High $3.98 | Professional | None | $1.95 | $2.57 | $3.98 |
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 $1.51 Median $1.70 Typical High $1.78 | Professional | 52 · Reduced service | $1.51 | $1.70 | $1.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.60 Median $0.68 Typical High $0.71 | Professional | 53 · Discontinued | $0.60 | $0.68 | $0.71 |
Where Virginia sits
The same service costs 3.3 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· 43rd of 51
$3.09
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.