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 $5.37 Median $6.31 Typical High $16.98 | Facility | None | $5.37 | $6.31 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $6.17 Typical High $6.31 | Professional | None | $5.37 | $6.17 | $6.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $35.48 | Facility | None | $7.24 | $7.24 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.24 Median $4.27 Typical High $5.25 | Professional | None | $3.24 | $4.27 | $5.25 |
CareFirst Setting Professional Modifier None Typical Low $5.13 Median $5.75 Typical High $9.33 | Professional | None | $5.13 | $5.75 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $16.60 Typical High $25.70 | Facility | None | $7.41 | $16.60 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $3.63 Median $5.37 Typical High $10.23 | Professional | None | $3.63 | $5.37 | $10.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.24 Median $8.71 Typical High $10.72 | Professional | None | $7.24 | $8.71 | $10.72 |
Medcost Setting Professional Modifier None Typical Low $5.50 Median $10.96 Typical High $12.88 | Professional | None | $5.50 | $10.96 | $12.88 |
Medcost Setting Facility Modifier None Typical Low $5.50 Median $6.03 Typical High $13.49 | Facility | None | $5.50 | $6.03 | $13.49 |
Medcost Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $10.23 | Professional | None | $5.62 | $5.62 | $10.23 |
Sentara Setting Facility Modifier None Typical Low $5.13 Median $9.33 Typical High $10,232.93 | Facility | None | $5.13 | $9.33 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $5.13 Median $9.33 Typical High $10,232.93 | Professional | None | $5.13 | $9.33 | $10,232.93 |
United Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Facility | None | $8.71 | $8.71 | $8.71 |
United Setting Professional Modifier None Typical Low $3.02 Median $3.89 Typical High $6.92 | Professional | None | $3.02 | $3.89 | $6.92 |
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 $2.69 Median $3.16 Typical High $3.24 | Professional | 52 · Reduced service | $2.69 | $3.16 | $3.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.07 Median $1.26 Typical High $1.29 | Professional | 53 · Discontinued | $1.07 | $1.26 | $1.29 |
Where Virginia sits
The same service costs 4.1 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· 45th of 51
$5.50
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.