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 $4.90 Median $6.17 Typical High $17.78 | Facility | None | $4.90 | $6.17 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $4.90 Median $5.89 Typical High $6.61 | Professional | None | $4.90 | $5.89 | $6.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.46 Median $6.46 Typical High $32.36 | Facility | None | $6.46 | $6.46 | $32.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.24 Median $3.98 Typical High $5.01 | Professional | None | $3.24 | $3.98 | $5.01 |
CareFirst Setting Professional Modifier None Typical Low $4.68 Median $5.25 Typical High $9.12 | Professional | None | $4.68 | $5.25 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $6.61 Median $15.85 Typical High $25.70 | Facility | None | $6.61 | $15.85 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $5.01 Typical High $9.33 | Professional | None | $3.55 | $5.01 | $9.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.46 Median $7.76 Typical High $9.55 | Professional | None | $6.46 | $7.76 | $9.55 |
Medcost Setting Professional Modifier None Typical Low $5.37 Median $10.96 Typical High $12.88 | Professional | None | $5.37 | $10.96 | $12.88 |
Medcost Setting Facility Modifier None Typical Low $5.37 Median $5.89 Typical High $13.18 | Facility | None | $5.37 | $5.89 | $13.18 |
Medcost Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $16.22 | Professional | None | $5.75 | $5.75 | $16.22 |
Sentara Setting Facility Modifier None Typical Low $5.89 Median $11.22 Typical High $7,413.10 | Facility | None | $5.89 | $11.22 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $5.89 Median $11.22 Typical High $10,232.93 | Professional | None | $5.89 | $11.22 | $10,232.93 |
United Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Facility | None | $7.76 | $7.76 | $7.76 |
United Setting Professional Modifier None Typical Low $2.75 Median $3.89 Typical High $6.92 | Professional | None | $2.75 | $3.89 | $6.92 |
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 $2.45 Median $3.02 Typical High $3.09 | Professional | 52 · Reduced service | $2.45 | $3.02 | $3.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.98 Median $1.20 Typical High $1.23 | Professional | 53 · Discontinued | $0.98 | $1.20 | $1.23 |
Where Virginia sits
The same service costs 3.0 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· 44th of 51
$5.25
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.