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 $7.24 Median $8.32 Typical High $22.91 | Facility | None | $7.24 | $8.32 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $8.32 Typical High $8.71 | Professional | None | $7.24 | $8.32 | $8.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $47.86 | Facility | None | $9.77 | $9.77 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.27 Median $5.75 Typical High $7.41 | Professional | None | $4.27 | $5.75 | $7.41 |
CareFirst Setting Professional Modifier None Typical Low $7.08 Median $7.76 Typical High $12.02 | Professional | None | $7.08 | $7.76 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $22.39 Typical High $33.88 | Facility | None | $10.00 | $22.39 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $7.08 Typical High $11.22 | Professional | None | $4.79 | $7.08 | $11.22 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.77 Median $11.75 Typical High $14.45 | Professional | None | $9.77 | $11.75 | $14.45 |
Medcost Setting Professional Modifier None Typical Low $7.08 Median $14.45 Typical High $16.98 | Professional | None | $7.08 | $14.45 | $16.98 |
Medcost Setting Facility Modifier None Typical Low $7.24 Median $8.32 Typical High $17.78 | Facility | None | $7.24 | $8.32 | $17.78 |
Medcost Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $11.22 | Professional | None | $7.41 | $7.41 | $11.22 |
Sentara Setting Facility Modifier None Typical Low $7.76 Median $12.88 Typical High $10,232.93 | Facility | None | $7.76 | $12.88 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $7.76 Median $12.88 Typical High $10,232.93 | Professional | None | $7.76 | $12.88 | $10,232.93 |
United Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
United Setting Professional Modifier None Typical Low $4.07 Median $5.37 Typical High $9.77 | Professional | None | $4.07 | $5.37 | $9.77 |
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 $3.63 Median $4.17 Typical High $4.37 | Professional | 52 · Reduced service | $3.63 | $4.17 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.66 Typical High $1.74 | Professional | 53 · Discontinued | $1.45 | $1.66 | $1.74 |
Where Virginia sits
The same service costs 3.6 times more in Kansas 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· 44th of 51
$7.59
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.