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 $5.62 Median $15.49 Typical High $18.62 | Facility | None | $5.62 | $15.49 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $6.46 Typical High $10.47 | Professional | None | $5.62 | $6.46 | $10.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $36.31 | Facility | None | $7.41 | $7.41 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.39 Median $4.37 Typical High $5.75 | Professional | None | $3.39 | $4.37 | $5.75 |
CareFirst Setting Professional Modifier None Typical Low $5.37 Median $6.03 Typical High $9.55 | Professional | None | $5.37 | $6.03 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $18.20 Typical High $27.54 | Facility | None | $7.59 | $18.20 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $5.62 Typical High $10.96 | Professional | None | $3.80 | $5.62 | $10.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.41 Median $8.91 Typical High $10.96 | Professional | None | $7.41 | $8.91 | $10.96 |
Medcost Setting Professional Modifier None Typical Low $5.75 Median $11.48 Typical High $13.49 | Professional | None | $5.75 | $11.48 | $13.49 |
Medcost Setting Facility Modifier None Typical Low $5.75 Median $6.46 Typical High $14.13 | Facility | None | $5.75 | $6.46 | $14.13 |
Medcost Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | None | $6.46 | $6.46 | $6.46 |
Sentara Setting Facility Modifier None Typical Low $6.76 Median $11.22 Typical High $7,413.10 | Facility | None | $6.76 | $11.22 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $6.46 Median $11.48 Typical High $10,232.93 | Professional | None | $6.46 | $11.48 | $10,232.93 |
United Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $23.99 | Facility | None | $8.91 | $8.91 | $23.99 |
United Setting Professional Modifier None Typical Low $3.16 Median $4.27 Typical High $7.41 | Professional | None | $3.16 | $4.27 | $7.41 |
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 $2.82 Median $3.24 Typical High $3.31 | Professional | 52 · Reduced service | $2.82 | $3.24 | $3.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.29 Typical High $1.32 | Professional | 53 · Discontinued | $1.12 | $1.29 | $1.32 |
Where Virginia sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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· 46th of 51
$6.03
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.