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 $4.37 Median $4.90 Typical High $13.49 | Facility | None | $4.37 | $4.90 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.90 Typical High $5.13 | Professional | None | $4.37 | $4.90 | $5.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $28.84 | Facility | None | $5.75 | $5.75 | $28.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.34 Median $3.47 Typical High $4.47 | Professional | None | $2.34 | $3.47 | $4.47 |
CareFirst Setting Professional Modifier None Typical Low $4.17 Median $4.68 Typical High $6.03 | Professional | None | $4.17 | $4.68 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $11.22 Typical High $16.98 | Facility | None | $5.89 | $11.22 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $3.47 Typical High $7.24 | Professional | None | $2.82 | $3.47 | $7.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.75 Median $6.92 Typical High $8.71 | Professional | None | $5.75 | $6.92 | $8.71 |
Medcost Setting Professional Modifier None Typical Low $3.55 Median $7.24 Typical High $8.32 | Professional | None | $3.55 | $7.24 | $8.32 |
Medcost Setting Facility Modifier None Typical Low $3.63 Median $4.68 Typical High $8.51 | Facility | None | $3.63 | $4.68 | $8.51 |
Medcost Setting Professional Modifier None Typical Low $3.63 Median $3.72 Typical High $3.72 | Professional | None | $3.63 | $3.72 | $3.72 |
Sentara Setting Facility Modifier None Typical Low $4.68 Median $7.41 Typical High $10,232.93 | Facility | None | $4.68 | $7.41 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $4.68 Median $7.41 Typical High $10,232.93 | Professional | None | $4.68 | $7.41 | $10,232.93 |
United Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
United Setting Professional Modifier None Typical Low $2.45 Median $3.09 Typical High $5.37 | Professional | None | $2.45 | $3.09 | $5.37 |
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 $2.19 Median $2.45 Typical High $2.57 | Professional | 52 · Reduced service | $2.19 | $2.45 | $2.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $1.00 Typical High $1.05 | Professional | 53 · Discontinued | $0.87 | $1.00 | $1.05 |
Where Virginia sits
The same service costs 3.5 times more in Alaska than in Nebraska. 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· 44th of 51
$4.47
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.