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 $4.17 Median $4.90 Typical High $13.49 | Facility | None | $4.17 | $4.90 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $4.90 Typical High $5.01 | Professional | None | $4.17 | $4.90 | $5.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.62 Median $5.62 Typical High $27.54 | Facility | None | $5.62 | $5.62 | $27.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.57 Median $3.31 Typical High $4.27 | Professional | None | $2.57 | $3.31 | $4.27 |
CareFirst Setting Professional Modifier None Typical Low $4.07 Median $4.47 Typical High $7.24 | Professional | None | $4.07 | $4.47 | $7.24 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $12.88 Typical High $20.89 | Facility | None | $5.75 | $12.88 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $2.88 Median $4.17 Typical High $6.31 | Professional | None | $2.88 | $4.17 | $6.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.62 Median $6.76 Typical High $8.32 | Professional | None | $5.62 | $6.76 | $8.32 |
Medcost Setting Professional Modifier None Typical Low $4.07 Median $8.71 Typical High $10.23 | Professional | None | $4.07 | $8.71 | $10.23 |
Medcost Setting Facility Modifier None Typical Low $4.37 Median $4.90 Typical High $10.72 | Facility | None | $4.37 | $4.90 | $10.72 |
Medcost Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.79 | Professional | None | $4.47 | $4.47 | $4.79 |
Sentara Setting Facility Modifier None Typical Low $4.57 Median $8.13 Typical High $10,232.93 | Facility | None | $4.57 | $8.13 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $4.57 Median $8.13 Typical High $10,232.93 | Professional | None | $4.57 | $8.13 | $10,232.93 |
United Setting Facility Modifier None Typical Low $6.76 Median $6.76 Typical High $10.47 | Facility | None | $6.76 | $6.76 | $10.47 |
United Setting Professional Modifier None Typical Low $2.34 Median $3.16 Typical High $5.62 | Professional | None | $2.34 | $3.16 | $5.62 |
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 $2.09 Median $2.45 Typical High $2.51 | Professional | 52 · Reduced service | $2.09 | $2.45 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $0.98 Typical High $1.00 | Professional | 53 · Discontinued | $0.83 | $0.98 | $1.00 |
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· 42nd 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.