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 $3.55 Median $8.71 Typical High $12.88 | Facility | None | $3.55 | $8.71 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $4.37 Typical High $4.47 | Professional | None | $3.55 | $4.37 | $4.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $23.44 | Facility | None | $4.79 | $4.79 | $23.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.34 Median $2.88 Typical High $3.63 | Professional | None | $2.34 | $2.88 | $3.63 |
CareFirst Setting Professional Modifier None Typical Low $3.39 Median $3.80 Typical High $6.61 | Professional | None | $3.39 | $3.80 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $9.77 Typical High $19.05 | Facility | None | $4.79 | $9.77 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $2.69 Median $3.63 Typical High $7.24 | Professional | None | $2.69 | $3.63 | $7.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.79 Median $5.75 Typical High $7.08 | Professional | None | $4.79 | $5.75 | $7.08 |
Medcost Setting Professional Modifier None Typical Low $3.98 Median $7.94 Typical High $9.33 | Professional | None | $3.98 | $7.94 | $9.33 |
Medcost Setting Facility Modifier None Typical Low $3.98 Median $4.47 Typical High $9.55 | Facility | None | $3.98 | $4.47 | $9.55 |
Medcost Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
Sentara Setting Facility Modifier None Typical Low $4.27 Median $6.76 Typical High $10,232.93 | Facility | None | $4.27 | $6.76 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $4.27 Median $6.76 Typical High $10,232.93 | Professional | None | $4.27 | $6.76 | $10,232.93 |
United Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Facility | None | $5.75 | $5.75 | $5.75 |
United Setting Professional Modifier None Typical Low $2.00 Median $2.82 Typical High $5.01 | Professional | None | $2.00 | $2.82 | $5.01 |
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 $1.78 Median $2.19 Typical High $2.24 | Professional | 52 · Reduced service | $1.78 | $2.19 | $2.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.87 Typical High $0.89 | Professional | 53 · Discontinued | $0.71 | $0.87 | $0.89 |
Where Virginia sits
The same service costs 4.2 times more in Kansas than in Connecticut. 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· 42nd of 51
$3.80
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.