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 $2.29 Median $4.27 Typical High $7.76 | Facility | None | $2.29 | $4.27 | $7.76 |
Aetna Setting Professional Modifier None Typical Low $2.29 Median $2.82 Typical High $8.13 | Professional | None | $2.29 | $2.82 | $8.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $14.79 | Facility | None | $3.02 | $3.02 | $14.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.48 Median $1.82 Typical High $2.29 | Professional | None | $1.48 | $1.82 | $2.29 |
CareFirst Setting Professional Modifier None Typical Low $2.19 Median $2.40 Typical High $3.98 | Professional | None | $2.19 | $2.40 | $3.98 |
Cigna Setting Facility Modifier None Typical Low $3.09 Median $7.08 Typical High $12.30 | Facility | None | $3.09 | $7.08 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $1.62 Median $2.29 Typical High $4.17 | Professional | None | $1.62 | $2.29 | $4.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.02 Median $3.63 Typical High $4.47 | Professional | None | $3.02 | $3.63 | $4.47 |
Medcost Setting Professional Modifier None Typical Low $2.51 Median $5.01 Typical High $5.89 | Professional | None | $2.51 | $5.01 | $5.89 |
Medcost Setting Facility Modifier None Typical Low $2.51 Median $2.75 Typical High $6.03 | Facility | None | $2.51 | $2.75 | $6.03 |
Medcost Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $4.79 | Professional | None | $2.69 | $2.69 | $4.79 |
Sentara Setting Facility Modifier None Typical Low $2.69 Median $4.37 Typical High $10,232.93 | Facility | None | $2.69 | $4.37 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $2.69 Median $4.37 Typical High $10,232.93 | Professional | None | $2.69 | $4.37 | $10,232.93 |
United Setting Facility Modifier None Typical Low $3.63 Median $3.63 Typical High $7.59 | Facility | None | $3.63 | $3.63 | $7.59 |
United Setting Professional Modifier None Typical Low $1.26 Median $1.78 Typical High $3.02 | Professional | None | $1.26 | $1.78 | $3.02 |
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 $1.12 Median $1.38 Typical High $1.45 | Professional | 52 · Reduced service | $1.12 | $1.38 | $1.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.45 Median $0.56 Typical High $0.56 | Professional | 53 · Discontinued | $0.45 | $0.56 | $0.56 |
Where Virginia sits
The same service costs 3.4 times more in Alaska than in Maryland. 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· 42nd of 51
$2.45
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.