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 $7.94 Median $9.77 Typical High $26.92 | Facility | None | $7.94 | $9.77 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $9.55 Typical High $9.77 | Professional | None | $7.94 | $9.55 | $9.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $52.48 | Facility | None | $10.72 | $10.72 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.13 Median $6.31 Typical High $8.13 | Professional | None | $5.13 | $6.31 | $8.13 |
CareFirst Setting Professional Modifier None Typical Low $7.59 Median $8.51 Typical High $14.45 | Professional | None | $7.59 | $8.51 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $25.12 Typical High $40.74 | Facility | None | $10.72 | $25.12 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $7.94 Typical High $15.49 | Professional | None | $5.75 | $7.94 | $15.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.72 Median $12.88 Typical High $15.85 | Professional | None | $10.72 | $12.88 | $15.85 |
Medcost Setting Professional Modifier None Typical Low $8.71 Median $17.38 Typical High $20.42 | Professional | None | $8.71 | $17.38 | $20.42 |
Medcost Setting Facility Modifier None Typical Low $8.51 Median $9.55 Typical High $21.38 | Facility | None | $8.51 | $9.55 | $21.38 |
Medcost Setting Professional Modifier None Typical Low $8.13 Median $8.91 Typical High $8.91 | Professional | None | $8.13 | $8.91 | $8.91 |
Sentara Setting Facility Modifier None Typical Low $9.33 Median $15.49 Typical High $10,232.93 | Facility | None | $9.33 | $15.49 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $9.33 Median $15.49 Typical High $10,232.93 | Professional | None | $9.33 | $15.49 | $10,232.93 |
United Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $22.39 | Facility | None | $12.88 | $12.88 | $22.39 |
United Setting Professional Modifier None Typical Low $4.47 Median $6.31 Typical High $10.96 | Professional | None | $4.47 | $6.31 | $10.96 |
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 $3.98 Median $4.90 Typical High $4.90 | Professional | 52 · Reduced service | $3.98 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.95 Typical High $1.95 | Professional | 53 · Discontinued | $1.58 | $1.95 | $1.95 |
Where Virginia sits
The same service costs 3.9 times more in Kansas 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· 46th of 51
$8.51
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.