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 $3.47 Typical High $9.55 | Facility | None | $3.02 | $3.47 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.47 Typical High $3.55 | Professional | None | $3.02 | $3.47 | $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 $1.82 Median $2.40 Typical High $3.02 | Professional | None | $1.82 | $2.40 | $3.02 |
CareFirst Setting Professional Modifier None Typical Low $2.88 Median $3.16 Typical High $5.13 | Professional | None | $2.88 | $3.16 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $4.07 Median $9.12 Typical High $14.13 | Facility | None | $4.07 | $9.12 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $2.04 Median $3.02 Typical High $5.62 | Professional | None | $2.04 | $3.02 | $5.62 |
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 $3.02 Median $6.17 Typical High $7.08 | Professional | None | $3.02 | $6.17 | $7.08 |
Medcost Setting Facility Modifier None Typical Low $3.09 Median $3.31 Typical High $7.59 | Facility | None | $3.09 | $3.31 | $7.59 |
Medcost Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $4.07 | Professional | None | $3.16 | $3.16 | $4.07 |
Sentara Setting Facility Modifier None Typical Low $3.24 Median $5.75 Typical High $10,232.93 | Facility | None | $3.24 | $5.75 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $3.24 Median $5.75 Typical High $10,232.93 | Professional | None | $3.24 | $5.75 | $10,232.93 |
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 $1.66 Median $2.24 Typical High $3.98 | Professional | None | $1.66 | $2.24 | $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 $1.74 Typical High $1.78 | Professional | 52 · Reduced service | $1.51 | $1.74 | $1.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.60 Median $0.69 Typical High $0.71 | Professional | 53 · Discontinued | $0.60 | $0.69 | $0.71 |
Where Virginia sits
The same service costs 3.2 times more in Alaska 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· 46th 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.