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 $4.07 Median $4.68 Typical High $12.88 | Facility | None | $4.07 | $4.68 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $4.68 Typical High $4.68 | Professional | None | $4.07 | $4.68 | $4.68 |
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 $2.34 Median $3.31 Typical High $3.98 | Professional | None | $2.34 | $3.31 | $3.98 |
CareFirst Setting Professional Modifier None Typical Low $3.98 Median $4.37 Typical High $6.61 | Professional | None | $3.98 | $4.37 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $12.59 Typical High $19.05 | Facility | None | $5.62 | $12.59 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $3.89 Typical High $7.59 | Professional | None | $2.75 | $3.89 | $7.59 |
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 $3.98 Median $7.94 Typical High $9.33 | Professional | None | $3.98 | $7.94 | $9.33 |
Medcost Setting Facility Modifier None Typical Low $3.98 Median $4.37 Typical High $9.55 | Facility | None | $3.98 | $4.37 | $9.55 |
Medcost Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $39.81 | Professional | None | $4.07 | $4.07 | $39.81 |
Sentara Setting Facility Modifier None Typical Low $4.68 Median $7.94 Typical High $10,232.93 | Facility | None | $4.68 | $7.94 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $4.68 Median $7.94 Typical High $10,232.93 | Professional | None | $4.68 | $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 $2.95 Typical High $5.50 | Professional | None | $2.29 | $2.95 | $5.50 |
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 $2.34 Typical High $2.45 | Professional | 52 · Reduced service | $2.04 | $2.34 | $2.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.93 Typical High $0.98 | Professional | 53 · Discontinued | $0.81 | $0.93 | $0.98 |
Where Virginia sits
The same service costs 3.3 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· 42nd 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.