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 $2.82 Median $4.79 Typical High $8.91 | Facility | None | $2.82 | $4.79 | $8.91 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $3.24 Typical High $8.51 | Professional | None | $2.82 | $3.24 | $8.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $18.62 | Facility | None | $3.80 | $3.80 | $18.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.70 Median $2.24 Typical High $2.88 | Professional | None | $1.70 | $2.24 | $2.88 |
CareFirst Setting Professional Modifier None Typical Low $2.75 Median $3.02 Typical High $4.79 | Professional | None | $2.75 | $3.02 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $3.89 Median $8.71 Typical High $13.18 | Facility | None | $3.89 | $8.71 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $2.82 Typical High $5.62 | Professional | None | $1.95 | $2.82 | $5.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.80 Median $4.57 Typical High $5.62 | Professional | None | $3.80 | $4.57 | $5.62 |
Medcost Setting Professional Modifier None Typical Low $2.09 Median $5.75 Typical High $6.76 | Professional | None | $2.09 | $5.75 | $6.76 |
Medcost Setting Facility Modifier None Typical Low $2.88 Median $3.16 Typical High $7.08 | Facility | None | $2.88 | $3.16 | $7.08 |
Medcost Setting Professional Modifier None Typical Low $2.75 Median $3.02 Typical High $3.02 | Professional | None | $2.75 | $3.02 | $3.02 |
Sentara Setting Facility Modifier None Typical Low $3.39 Median $5.50 Typical High $7,413.10 | Facility | None | $3.39 | $5.50 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $3.39 Median $5.13 Typical High $4,570.88 | Professional | None | $3.39 | $5.13 | $4,570.88 |
United Setting Facility Modifier None Typical Low $4.57 Median $4.57 Typical High $7.59 | Facility | None | $4.57 | $4.57 | $7.59 |
United Setting Professional Modifier None Typical Low $1.58 Median $2.14 Typical High $3.80 | Professional | None | $1.58 | $2.14 | $3.80 |
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 $1.45 Median $1.62 Typical High $1.70 | Professional | 52 · Reduced service | $1.45 | $1.62 | $1.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.65 Typical High $0.68 | Professional | 53 · Discontinued | $0.56 | $0.65 | $0.68 |
Where Virginia sits
The same service costs 11.7 times more in Minnesota 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
$3.24
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.