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 $7.41 Median $9.33 Typical High $25.70 | Facility | None | $7.41 | $9.33 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $8.91 Typical High $9.33 | Professional | None | $7.41 | $8.91 | $9.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $47.86 | Facility | None | $9.77 | $9.77 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.90 Median $6.03 Typical High $7.59 | Professional | None | $4.90 | $6.03 | $7.59 |
CareFirst Setting Professional Modifier None Typical Low $7.08 Median $7.94 Typical High $9.77 | Professional | None | $7.08 | $7.94 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $23.44 Typical High $38.90 | Facility | None | $10.00 | $23.44 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $7.59 Typical High $13.80 | Professional | None | $5.37 | $7.59 | $13.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.77 Median $11.75 Typical High $14.45 | Professional | None | $9.77 | $11.75 | $14.45 |
Medcost Setting Professional Modifier None Typical Low $8.13 Median $16.60 Typical High $19.05 | Professional | None | $8.13 | $16.60 | $19.05 |
Medcost Setting Facility Modifier None Typical Low $8.13 Median $8.91 Typical High $20.42 | Facility | None | $8.13 | $8.91 | $20.42 |
Medcost Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $23.99 | Professional | None | $8.71 | $8.71 | $23.99 |
Sentara Setting Facility Modifier None Typical Low $8.71 Median $14.45 Typical High $10,232.93 | Facility | None | $8.71 | $14.45 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $8.71 Median $14.45 Typical High $10,232.93 | Professional | None | $8.71 | $14.45 | $10,232.93 |
United Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $33.11 | Facility | None | $11.75 | $11.75 | $33.11 |
United Setting Professional Modifier None Typical Low $4.07 Median $5.75 Typical High $9.77 | Professional | None | $4.07 | $5.75 | $9.77 |
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 $3.72 Median $4.57 Typical High $4.68 | Professional | 52 · Reduced service | $3.72 | $4.57 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.82 Typical High $1.86 | Professional | 53 · Discontinued | $1.48 | $1.82 | $1.86 |
Where Virginia sits
The same service costs 4.1 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· 43rd of 51
$7.94
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.