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 $5.25 Median $5.89 Typical High $16.22 | Facility | None | $5.25 | $5.89 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $5.25 Median $5.89 Typical High $6.17 | Professional | None | $5.25 | $5.89 | $6.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $34.67 | Facility | None | $7.08 | $7.08 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.82 Median $4.17 Typical High $5.13 | Professional | None | $2.82 | $4.17 | $5.13 |
CareFirst Setting Professional Modifier None Typical Low $3.31 Median $5.62 Typical High $5.62 | Professional | None | $3.31 | $5.62 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $9.55 Typical High $17.78 | Facility | None | $5.62 | $9.55 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $1.66 Median $4.37 Typical High $8.32 | Professional | None | $1.66 | $4.37 | $8.32 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.08 Median $8.32 Typical High $10.47 | Professional | None | $7.08 | $8.32 | $10.47 |
Medcost Setting Professional Modifier None Typical Low $1.95 Median $3.98 Typical High $4.68 | Professional | None | $1.95 | $3.98 | $4.68 |
Medcost Setting Facility Modifier None Typical Low $2.00 Median $5.01 Typical High $7.08 | Facility | None | $2.00 | $5.01 | $7.08 |
Medcost Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $27.54 | Professional | None | $2.09 | $2.09 | $27.54 |
Sentara Setting Facility Modifier None Typical Low $3.24 Median $8.32 Typical High $10,232.93 | Facility | None | $3.24 | $8.32 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $2.95 Median $7.08 Typical High $7,413.10 | Professional | None | $2.95 | $7.08 | $7,413.10 |
United Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
United Setting Professional Modifier None Typical Low $2.00 Median $4.17 Typical High $7.08 | Professional | None | $2.00 | $4.17 | $7.08 |
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 $2.63 Median $2.95 Typical High $3.09 | Professional | 52 · Reduced service | $2.63 | $2.95 | $3.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.05 Median $1.20 Typical High $1.26 | Professional | 53 · Discontinued | $1.05 | $1.20 | $1.26 |
Where Virginia sits
The same service costs 5.4 times more in Alaska 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· 40th of 51
$5.01
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.