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 $8.32 Typical High $22.91 | Facility | None | $6.61 | $8.32 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $8.13 Typical High $8.32 | Professional | None | $6.61 | $8.13 | $8.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $43.65 | Facility | None | $8.91 | $8.91 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.37 Median $5.37 Typical High $6.76 | Professional | None | $4.37 | $5.37 | $6.76 |
CareFirst Setting Professional Modifier None Typical Low $6.31 Median $7.08 Typical High $12.30 | Professional | None | $6.31 | $7.08 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $21.38 Typical High $34.67 | Facility | None | $8.91 | $21.38 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $6.76 Typical High $12.30 | Professional | None | $4.79 | $6.76 | $12.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.91 Median $10.72 Typical High $13.18 | Professional | None | $8.91 | $10.72 | $13.18 |
Medcost Setting Professional Modifier None Typical Low $7.41 Median $14.79 Typical High $17.38 | Professional | None | $7.41 | $14.79 | $17.38 |
Medcost Setting Facility Modifier None Typical Low $7.08 Median $8.32 Typical High $18.20 | Facility | None | $7.08 | $8.32 | $18.20 |
Medcost Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $19.95 | Professional | None | $7.41 | $7.41 | $19.95 |
Sentara Setting Facility Modifier None Typical Low $7.94 Median $13.18 Typical High $10,232.93 | Facility | None | $7.94 | $13.18 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $7.94 Median $12.88 Typical High $10,232.93 | Professional | None | $7.94 | $12.88 | $10,232.93 |
United Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $30.20 | Facility | None | $10.72 | $10.72 | $30.20 |
United Setting Professional Modifier None Typical Low $3.72 Median $5.37 Typical High $9.33 | Professional | None | $3.72 | $5.37 | $9.33 |
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 $4.07 Typical High $4.17 | Professional | 52 · Reduced service | $3.31 | $4.07 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.62 Typical High $1.66 | Professional | 53 · Discontinued | $1.32 | $1.62 | $1.66 |
Where Virginia sits
The same service costs 3.8 times more in Kansas than in Oklahoma. 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
$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.