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 $7.08 Median $8.13 Typical High $21.88 | Facility | None | $7.08 | $8.13 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $8.13 Typical High $8.51 | Professional | None | $7.08 | $8.13 | $8.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $46.77 | Facility | None | $9.55 | $9.55 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.17 Median $5.62 Typical High $7.24 | Professional | None | $4.17 | $5.62 | $7.24 |
CareFirst Setting Professional Modifier None Typical Low $3.31 Median $7.59 Typical High $7.59 | Professional | None | $3.31 | $7.59 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $19.05 Typical High $33.11 | Facility | None | $9.55 | $19.05 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $6.76 Typical High $10.72 | Professional | None | $4.79 | $6.76 | $10.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.55 Median $11.48 Typical High $14.13 | Professional | None | $9.55 | $11.48 | $14.13 |
Medcost Setting Professional Modifier None Typical Low $7.08 Median $14.13 Typical High $16.60 | Professional | None | $7.08 | $14.13 | $16.60 |
Medcost Setting Facility Modifier None Typical Low $7.08 Median $7.76 Typical High $17.38 | Facility | None | $7.08 | $7.76 | $17.38 |
Medcost Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $17.78 | Professional | None | $7.24 | $7.24 | $17.78 |
Sentara Setting Facility Modifier None Typical Low $6.76 Median $13.49 Typical High $10,232.93 | Facility | None | $6.76 | $13.49 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $6.76 Median $13.49 Typical High $10,232.93 | Professional | None | $6.76 | $13.49 | $10,232.93 |
United Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
United Setting Professional Modifier None Typical Low $1.45 Median $4.79 Typical High $6.92 | Professional | None | $1.45 | $4.79 | $6.92 |
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 $3.55 Median $4.07 Typical High $4.27 | Professional | 52 · Reduced service | $3.55 | $4.07 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.62 Typical High $1.70 | Professional | 53 · Discontinued | $1.41 | $1.62 | $1.70 |
Where Virginia sits
The same service costs 4.2 times more in Kansas than in North Carolina. 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
$7.24
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.