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 $3.31 Median $8.13 Typical High $11.75 | Facility | None | $3.31 | $8.13 | $11.75 |
Aetna Setting Professional Modifier None Typical Low $3.31 Median $4.07 Typical High $5.25 | Professional | None | $3.31 | $4.07 | $5.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.37 Median $4.37 Typical High $21.38 | Facility | None | $4.37 | $4.37 | $21.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.19 Median $2.69 Typical High $3.39 | Professional | None | $2.19 | $2.69 | $3.39 |
CareFirst Setting Professional Modifier None Typical Low $3.16 Median $3.55 Typical High $6.17 | Professional | None | $3.16 | $3.55 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $4.47 Median $10.23 Typical High $16.98 | Facility | None | $4.47 | $10.23 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $3.39 Typical High $6.76 | Professional | None | $2.51 | $3.39 | $6.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.37 Median $5.25 Typical High $6.46 | Professional | None | $4.37 | $5.25 | $6.46 |
Medcost Setting Professional Modifier None Typical Low $3.63 Median $7.41 Typical High $8.71 | Professional | None | $3.63 | $7.41 | $8.71 |
Medcost Setting Facility Modifier None Typical Low $3.63 Median $4.17 Typical High $9.12 | Facility | None | $3.63 | $4.17 | $9.12 |
Medcost Setting Professional Modifier None Typical Low $3.24 Median $4.57 Typical High $4.57 | Professional | None | $3.24 | $4.57 | $4.57 |
Sentara Setting Facility Modifier None Typical Low $3.98 Median $7.41 Typical High $7,413.10 | Facility | None | $3.98 | $7.41 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $3.98 Median $7.41 Typical High $7,413.10 | Professional | None | $3.98 | $7.41 | $7,413.10 |
United Setting Facility Modifier None Typical Low $5.25 Median $5.25 Typical High $15.14 | Facility | None | $5.25 | $5.25 | $15.14 |
United Setting Professional Modifier None Typical Low $1.86 Median $2.63 Typical High $4.57 | Professional | None | $1.86 | $2.63 | $4.57 |
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 $1.66 Median $2.04 Typical High $2.09 | Professional | 52 · Reduced service | $1.66 | $2.04 | $2.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.66 Median $0.81 Typical High $0.83 | Professional | 53 · Discontinued | $0.66 | $0.81 | $0.83 |
Where Virginia sits
The same service costs 4.2 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
$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.