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 $1.78 Median $3.63 Typical High $6.31 | Facility | None | $1.78 | $3.63 | $6.31 |
Aetna Setting Professional Modifier None Typical Low $1.78 Median $2.63 Typical High $5.89 | Professional | None | $1.78 | $2.63 | $5.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.34 Median $2.34 Typical High $11.75 | Facility | None | $2.34 | $2.34 | $11.75 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.17 Median $1.41 Typical High $1.82 | Professional | None | $1.17 | $1.41 | $1.82 |
CareFirst Setting Professional Modifier None Typical Low $1.70 Median $1.91 Typical High $3.31 | Professional | None | $1.70 | $1.91 | $3.31 |
Cigna Setting Facility Modifier None Typical Low $2.40 Median $5.50 Typical High $9.55 | Facility | None | $2.40 | $5.50 | $9.55 |
Cigna Setting Professional Modifier None Typical Low $1.41 Median $2.14 Typical High $3.31 | Professional | None | $1.41 | $2.14 | $3.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.34 Median $2.82 Typical High $3.55 | Professional | None | $2.34 | $2.82 | $3.55 |
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 $1.95 Median $2.24 Typical High $5.01 | Facility | None | $1.95 | $2.24 | $5.01 |
Medcost Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $3.80 | Professional | None | $2.09 | $2.09 | $3.80 |
Sentara Setting Facility Modifier None Typical Low $2.14 Median $4.07 Typical High $7,413.10 | Facility | None | $2.14 | $4.07 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $2.14 Median $3.47 Typical High $4,570.88 | Professional | None | $2.14 | $3.47 | $4,570.88 |
United Setting Facility Modifier None Typical Low $2.82 Median $2.82 Typical High $7.59 | Facility | None | $2.82 | $2.82 | $7.59 |
United Setting Professional Modifier None Typical Low $1.41 Median $2.00 Typical High $3.31 | Professional | None | $1.41 | $2.00 | $3.31 |
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 $0.89 Median $1.10 Typical High $1.12 | Professional | 52 · Reduced service | $0.89 | $1.10 | $1.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.36 Median $0.44 Typical High $0.45 | Professional | 53 · Discontinued | $0.36 | $0.44 | $0.45 |
Where Virginia sits
The same service costs 16.6 times more in Minnesota than in Washington, DC. 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
$2.34
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.