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 $3.89 Median $4.37 Typical High $12.02 | Facility | None | $3.89 | $4.37 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $4.37 Typical High $4.57 | Professional | None | $3.89 | $4.37 | $4.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $25.12 | Facility | None | $5.13 | $5.13 | $25.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.04 Median $3.09 Typical High $3.80 | Professional | None | $2.04 | $3.09 | $3.80 |
CareFirst Setting Professional Modifier None Typical Low $3.72 Median $4.07 Typical High $5.25 | Professional | None | $3.72 | $4.07 | $5.25 |
Cigna Setting Facility Modifier None Typical Low $5.25 Median $10.00 Typical High $15.14 | Facility | None | $5.25 | $10.00 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $3.09 Typical High $7.24 | Professional | None | $2.51 | $3.09 | $7.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.13 Median $6.17 Typical High $7.59 | Professional | None | $5.13 | $6.17 | $7.59 |
Medcost Setting Professional Modifier None Typical Low $3.09 Median $6.31 Typical High $7.41 | Professional | None | $3.09 | $6.31 | $7.41 |
Medcost Setting Facility Modifier None Typical Low $3.16 Median $4.07 Typical High $7.59 | Facility | None | $3.16 | $4.07 | $7.59 |
Medcost Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | None | $3.24 | $3.24 | $3.24 |
Sentara Setting Facility Modifier None Typical Low $4.07 Median $6.31 Typical High $10,232.93 | Facility | None | $4.07 | $6.31 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $4.07 Median $6.46 Typical High $10,232.93 | Professional | None | $4.07 | $6.46 | $10,232.93 |
United Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $8.91 | Facility | None | $6.17 | $6.17 | $8.91 |
United Setting Professional Modifier None Typical Low $2.14 Median $2.69 Typical High $5.13 | Professional | None | $2.14 | $2.69 | $5.13 |
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 $1.95 Median $2.19 Typical High $2.29 | Professional | 52 · Reduced service | $1.95 | $2.19 | $2.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.87 Typical High $0.91 | Professional | 53 · Discontinued | $0.78 | $0.87 | $0.91 |
Where Virginia sits
The same service costs 3.7 times more in Kansas than in Kentucky. 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· 41st of 51
$3.89
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.