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 $4.37 Median $7.41 Typical High $14.79 | Facility | None | $4.37 | $7.41 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $5.25 Typical High $5.50 | Professional | None | $4.37 | $5.25 | $5.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $28.18 | Facility | None | $5.75 | $5.75 | $28.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.82 Median $3.47 Typical High $4.47 | Professional | None | $2.82 | $3.47 | $4.47 |
CareFirst Setting Professional Modifier None Typical Low $4.17 Median $4.57 Typical High $8.13 | Professional | None | $4.17 | $4.57 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $14.13 Typical High $22.91 | Facility | None | $5.89 | $14.13 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $3.24 Median $4.47 Typical High $8.32 | Professional | None | $3.24 | $4.47 | $8.32 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.75 Median $6.92 Typical High $8.51 | Professional | None | $5.75 | $6.92 | $8.51 |
Medcost Setting Professional Modifier None Typical Low $4.79 Median $9.77 Typical High $11.22 | Professional | None | $4.79 | $9.77 | $11.22 |
Medcost Setting Facility Modifier None Typical Low $4.79 Median $5.50 Typical High $11.75 | Facility | None | $4.79 | $5.50 | $11.75 |
Medcost Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $14.13 | Professional | None | $6.03 | $6.03 | $14.13 |
Sentara Setting Facility Modifier None Typical Low $5.25 Median $9.77 Typical High $7,413.10 | Facility | None | $5.25 | $9.77 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $5.25 Median $9.77 Typical High $10,232.93 | Professional | None | $5.25 | $9.77 | $10,232.93 |
United Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
United Setting Professional Modifier None Typical Low $2.40 Median $3.47 Typical High $6.03 | Professional | None | $2.40 | $3.47 | $6.03 |
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 $2.19 Median $2.63 Typical High $2.75 | Professional | 52 · Reduced service | $2.19 | $2.63 | $2.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $1.07 Typical High $1.10 | Professional | 53 · Discontinued | $0.87 | $1.07 | $1.10 |
Where Virginia sits
The same service costs 4.0 times more in Kansas 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· 43rd of 51
$4.68
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.