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 $6.76 Median $11.48 Typical High $22.91 | Facility | None | $6.76 | $11.48 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $8.32 Typical High $9.12 | Professional | None | $6.76 | $8.32 | $9.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $44.67 | Facility | None | $9.12 | $9.12 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.37 Median $5.50 Typical High $6.92 | Professional | None | $4.37 | $5.50 | $6.92 |
CareFirst Setting Professional Modifier None Typical Low $6.61 Median $7.24 Typical High $11.22 | Professional | None | $6.61 | $7.24 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $21.88 Typical High $34.67 | Facility | None | $9.33 | $21.88 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $6.92 Typical High $12.88 | Professional | None | $4.79 | $6.92 | $12.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.12 Median $10.96 Typical High $13.49 | Professional | None | $9.12 | $10.96 | $13.49 |
Medcost Setting Professional Modifier None Typical Low $7.41 Median $14.79 Typical High $17.38 | Professional | None | $7.41 | $14.79 | $17.38 |
Medcost Setting Facility Modifier None Typical Low $7.41 Median $8.32 Typical High $18.20 | Facility | None | $7.41 | $8.32 | $18.20 |
Medcost Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $28.18 | Professional | None | $7.94 | $7.94 | $28.18 |
Sentara Setting Facility Modifier None Typical Low $7.94 Median $13.18 Typical High $10,232.93 | Facility | None | $7.94 | $13.18 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $7.94 Median $13.18 Typical High $10,232.93 | Professional | None | $7.94 | $13.18 | $10,232.93 |
United Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $30.20 | Facility | None | $10.96 | $10.96 | $30.20 |
United Setting Professional Modifier None Typical Low $3.80 Median $5.37 Typical High $9.12 | Professional | None | $3.80 | $5.37 | $9.12 |
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 $3.39 Median $4.17 Typical High $4.17 | Professional | 52 · Reduced service | $3.39 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $1.70 Typical High $1.70 | Professional | 53 · Discontinued | $1.38 | $1.70 | $1.70 |
Where Virginia sits
The same service costs 5.9 times more in Kansas than in Alabama. 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· 43rd of 51
$7.24
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.