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 $3.55 Median $4.07 Typical High $11.22 | Facility | None | $3.55 | $4.07 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $4.07 Typical High $4.17 | Professional | None | $3.55 | $4.07 | $4.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $22.91 | Facility | None | $4.68 | $4.68 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.14 Median $2.82 Typical High $3.55 | Professional | None | $2.14 | $2.82 | $3.55 |
CareFirst Setting Professional Modifier None Typical Low $3.39 Median $3.72 Typical High $6.03 | Professional | None | $3.39 | $3.72 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $10.96 Typical High $16.98 | Facility | None | $4.79 | $10.96 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $3.47 Typical High $6.76 | Professional | None | $2.45 | $3.47 | $6.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.68 Median $5.62 Typical High $6.92 | Professional | None | $4.68 | $5.62 | $6.92 |
Medcost Setting Professional Modifier None Typical Low $3.55 Median $7.24 Typical High $8.32 | Professional | None | $3.55 | $7.24 | $8.32 |
Medcost Setting Facility Modifier None Typical Low $3.63 Median $4.07 Typical High $8.51 | Facility | None | $3.63 | $4.07 | $8.51 |
Medcost Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $6.46 | Professional | None | $3.80 | $3.80 | $6.46 |
Sentara Setting Facility Modifier None Typical Low $3.80 Median $6.76 Typical High $10,232.93 | Facility | None | $3.80 | $6.76 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $3.80 Median $6.76 Typical High $10,232.93 | Professional | None | $3.80 | $6.76 | $10,232.93 |
United Setting Facility Modifier None Typical Low $5.62 Median $5.62 Typical High $12.02 | Facility | None | $5.62 | $5.62 | $12.02 |
United Setting Professional Modifier None Typical Low $1.95 Median $2.63 Typical High $4.68 | Professional | None | $1.95 | $2.63 | $4.68 |
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 $1.78 Median $2.04 Typical High $2.09 | Professional | 52 · Reduced service | $1.78 | $2.04 | $2.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.81 Typical High $0.83 | Professional | 53 · Discontinued | $0.71 | $0.81 | $0.83 |
Where Virginia sits
The same service costs 4.3 times more in Kansas than in Nebraska. 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· 46th of 51
$3.63
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.