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 $7.08 Typical High $14.13 | Facility | None | $4.17 | $7.08 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $4.90 Typical High $5.62 | Professional | None | $4.17 | $4.90 | $5.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $26.92 | Facility | None | $5.50 | $5.50 | $26.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.69 Median $3.39 Typical High $4.27 | Professional | None | $2.69 | $3.39 | $4.27 |
CareFirst Setting Professional Modifier None Typical Low $3.98 Median $4.37 Typical High $7.76 | Professional | None | $3.98 | $4.37 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $13.49 Typical High $21.88 | Facility | None | $5.62 | $13.49 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $4.27 Typical High $7.76 | Professional | None | $3.02 | $4.27 | $7.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.50 Median $6.61 Typical High $8.13 | Professional | None | $5.50 | $6.61 | $8.13 |
Medcost Setting Professional Modifier None Typical Low $4.57 Median $9.12 Typical High $10.72 | Professional | None | $4.57 | $9.12 | $10.72 |
Medcost Setting Facility Modifier None Typical Low $4.57 Median $4.90 Typical High $11.22 | Facility | None | $4.57 | $4.90 | $11.22 |
Medcost Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $5.62 | Professional | None | $4.68 | $4.68 | $5.62 |
Sentara Setting Facility Modifier None Typical Low $4.90 Median $7.94 Typical High $10,232.93 | Facility | None | $4.90 | $7.94 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $4.90 Median $7.94 Typical High $10,232.93 | Professional | None | $4.90 | $7.94 | $10,232.93 |
United Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | None | $6.61 | $6.61 | $6.61 |
United Setting Professional Modifier None Typical Low $2.29 Median $3.31 Typical High $5.75 | Professional | None | $2.29 | $3.31 | $5.75 |
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 $2.04 Median $2.51 Typical High $2.57 | Professional | 52 · Reduced service | $2.04 | $2.51 | $2.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $1.00 Typical High $1.05 | Professional | 53 · Discontinued | $0.83 | $1.00 | $1.05 |
Where Virginia sits
The same service costs 4.1 times more in Kansas than in Maryland. 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
$4.37
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.