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 $6.61 Median $7.76 Typical High $21.38 | Facility | None | $6.61 | $7.76 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $7.76 Typical High $10.47 | Professional | None | $6.61 | $7.76 | $10.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $42.66 | Facility | None | $8.71 | $8.71 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $5.25 Typical High $6.76 | Professional | None | $4.07 | $5.25 | $6.76 |
CareFirst Setting Professional Modifier None Typical Low $6.31 Median $7.08 Typical High $11.48 | Professional | None | $6.31 | $7.08 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $19.50 Typical High $32.36 | Facility | None | $8.91 | $19.50 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $6.46 Typical High $12.30 | Professional | None | $4.57 | $6.46 | $12.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.71 Median $10.47 Typical High $12.88 | Professional | None | $8.71 | $10.47 | $12.88 |
Medcost Setting Professional Modifier None Typical Low $6.92 Median $13.80 Typical High $16.22 | Professional | None | $6.92 | $13.80 | $16.22 |
Medcost Setting Facility Modifier None Typical Low $6.92 Median $7.59 Typical High $16.60 | Facility | None | $6.92 | $7.59 | $16.60 |
Medcost Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $16.22 | Professional | None | $7.08 | $7.08 | $16.22 |
Sentara Setting Facility Modifier None Typical Low $7.41 Median $12.59 Typical High $10,232.93 | Facility | None | $7.41 | $12.59 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $7.41 Median $12.59 Typical High $10,232.93 | Professional | None | $7.41 | $12.59 | $10,232.93 |
United Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $23.99 | Facility | None | $10.47 | $10.47 | $23.99 |
United Setting Professional Modifier None Typical Low $3.72 Median $5.13 Typical High $8.71 | Professional | None | $3.72 | $5.13 | $8.71 |
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 $3.31 Median $3.89 Typical High $3.89 | Professional | 52 · Reduced service | $3.31 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.55 Typical High $1.58 | Professional | 53 · Discontinued | $1.32 | $1.55 | $1.58 |
Where Virginia sits
The same service costs 3.5 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· 41st of 51
$7.08
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.