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 $3.80 Median $7.08 Typical High $12.30 | Facility | None | $3.80 | $7.08 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $4.37 Typical High $6.17 | Professional | None | $3.80 | $4.37 | $6.17 |
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 $2.34 Median $3.02 Typical High $3.89 | Professional | None | $2.34 | $3.02 | $3.89 |
CareFirst Setting Professional Modifier None Typical Low $3.63 Median $4.07 Typical High $4.79 | Professional | None | $3.63 | $4.07 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $12.30 Typical High $19.05 | Facility | None | $5.13 | $12.30 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $2.69 Median $3.89 Typical High $7.24 | Professional | None | $2.69 | $3.89 | $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 $3.98 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 $4.27 | Professional | None | $4.07 | $4.07 | $4.27 |
Sentara Setting Facility Modifier None Typical Low $4.47 Median $8.71 Typical High $10,232.93 | Facility | None | $4.47 | $8.71 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $4.47 Median $8.71 Typical High $10,232.93 | Professional | None | $4.47 | $8.71 | $10,232.93 |
United Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | None | $6.17 | $6.17 | $6.17 |
United Setting Professional Modifier None Typical Low $2.04 Median $2.69 Typical High $5.13 | Professional | None | $2.04 | $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 $1.91 Median $2.24 Typical High $2.24 | Professional | 52 · Reduced service | $1.91 | $2.24 | $2.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.89 Typical High $0.89 | Professional | 53 · Discontinued | $0.76 | $0.89 | $0.89 |
Where Virginia sits
The same service costs 3.5 times more in Kansas than in New Jersey. 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
$4.07
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.