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 $5.75 Median $7.24 Typical High $19.95 | Facility | None | $5.75 | $7.24 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $7.08 Typical High $7.24 | Professional | None | $5.75 | $7.08 | $7.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $38.02 | Facility | None | $7.76 | $7.76 | $38.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.80 Median $4.68 Typical High $5.89 | Professional | None | $3.80 | $4.68 | $5.89 |
CareFirst Setting Professional Modifier None Typical Low $5.50 Median $6.17 Typical High $12.30 | Professional | None | $5.50 | $6.17 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $18.62 Typical High $34.67 | Facility | None | $7.76 | $18.62 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $6.76 Typical High $11.48 | Professional | None | $4.27 | $6.76 | $11.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.76 Median $9.33 Typical High $11.48 | Professional | None | $7.76 | $9.33 | $11.48 |
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 $6.17 Median $7.76 Typical High $18.20 | Facility | None | $6.17 | $7.76 | $18.20 |
Medcost Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $11.22 | Professional | None | $7.76 | $7.76 | $11.22 |
Sentara Setting Facility Modifier None Typical Low $6.92 Median $10.96 Typical High $10,232.93 | Facility | None | $6.92 | $10.96 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $6.92 Median $10.96 Typical High $10,232.93 | Professional | None | $6.92 | $10.96 | $10,232.93 |
United Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
United Setting Professional Modifier None Typical Low $3.24 Median $5.01 Typical High $9.33 | Professional | None | $3.24 | $5.01 | $9.33 |
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 $2.88 Median $3.55 Typical High $3.63 | Professional | 52 · Reduced service | $2.88 | $3.55 | $3.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.41 Typical High $1.45 | Professional | 53 · Discontinued | $1.15 | $1.41 | $1.45 |
Where Virginia sits
The same service costs 3.5 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· 47th of 51
$6.17
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.