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 $5.50 Median $6.17 Typical High $16.98 | Facility | None | $5.50 | $6.17 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $6.17 Typical High $6.46 | Professional | None | $5.50 | $6.17 | $6.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $35.48 | Facility | None | $7.24 | $7.24 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.95 Median $4.27 Typical High $5.62 | Professional | None | $2.95 | $4.27 | $5.62 |
CareFirst Setting Professional Modifier None Typical Low $5.25 Median $5.89 Typical High $7.94 | Professional | None | $5.25 | $5.89 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $14.45 Typical High $22.91 | Facility | None | $7.41 | $14.45 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $4.68 Typical High $9.77 | Professional | None | $3.55 | $4.68 | $9.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.24 Median $8.71 Typical High $10.72 | Professional | None | $7.24 | $8.71 | $10.72 |
Medcost Setting Professional Modifier None Typical Low $4.68 Median $9.55 Typical High $10.96 | Professional | None | $4.68 | $9.55 | $10.96 |
Medcost Setting Facility Modifier None Typical Low $4.79 Median $6.17 Typical High $11.75 | Facility | None | $4.79 | $6.17 | $11.75 |
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 $5.75 Median $9.12 Typical High $10,232.93 | Facility | None | $5.75 | $9.12 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $5.75 Median $9.12 Typical High $10,232.93 | Professional | None | $5.75 | $9.12 | $10,232.93 |
United Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $8.91 | Facility | None | $8.71 | $8.71 | $8.91 |
United Setting Professional Modifier None Typical Low $3.09 Median $3.89 Typical High $7.24 | Professional | None | $3.09 | $3.89 | $7.24 |
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 $2.75 Median $3.09 Typical High $3.24 | Professional | 52 · Reduced service | $2.75 | $3.09 | $3.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.10 Median $1.23 Typical High $1.29 | Professional | 53 · Discontinued | $1.10 | $1.23 | $1.29 |
Where Virginia sits
The same service costs 4.3 times more in Kansas than in Kentucky. 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· 40th of 51
$5.62
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.