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 $6.76 Median $12.88 Typical High $21.88 | Facility | None | $6.76 | $12.88 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $7.94 Typical High $8.51 | Professional | None | $6.76 | $7.94 | $8.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $44.67 | Facility | None | $9.12 | $9.12 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.17 Median $5.37 Typical High $6.92 | Professional | None | $4.17 | $5.37 | $6.92 |
CareFirst Setting Professional Modifier None Typical Low $6.61 Median $7.24 Typical High $11.75 | Professional | None | $6.61 | $7.24 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $21.88 Typical High $33.11 | Facility | None | $9.33 | $21.88 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $6.76 Typical High $12.88 | Professional | None | $4.68 | $6.76 | $12.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.12 Median $10.96 Typical High $13.49 | Professional | None | $9.12 | $10.96 | $13.49 |
Medcost Setting Professional Modifier None Typical Low $6.92 Median $14.13 Typical High $16.22 | Professional | None | $6.92 | $14.13 | $16.22 |
Medcost Setting Facility Modifier None Typical Low $7.08 Median $9.12 Typical High $17.38 | Facility | None | $7.08 | $9.12 | $17.38 |
Medcost Setting Professional Modifier None Typical Low $8.32 Median $10.00 Typical High $10.00 | Professional | None | $8.32 | $10.00 | $10.00 |
Sentara Setting Facility Modifier None Typical Low $7.59 Median $13.18 Typical High $7,413.10 | Facility | None | $7.59 | $13.18 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $7.59 Median $13.18 Typical High $10,232.93 | Professional | None | $7.59 | $13.18 | $10,232.93 |
United Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
United Setting Professional Modifier None Typical Low $3.80 Median $5.13 Typical High $9.12 | Professional | None | $3.80 | $5.13 | $9.12 |
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 $3.39 Median $3.98 Typical High $4.07 | Professional | 52 · Reduced service | $3.39 | $3.98 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $1.58 Typical High $1.62 | Professional | 53 · Discontinued | $1.35 | $1.58 | $1.62 |
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
$7.24
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.