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 $3.24 Median $5.25 Typical High $10.96 | Facility | None | $3.24 | $5.25 | $10.96 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $4.07 Typical High $7.76 | Professional | None | $3.24 | $4.07 | $7.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.27 Median $4.27 Typical High $20.89 | Facility | None | $4.27 | $4.27 | $20.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.09 Median $2.57 Typical High $3.24 | Professional | None | $2.09 | $2.57 | $3.24 |
CareFirst Setting Professional Modifier None Typical Low $3.09 Median $3.47 Typical High $4.79 | Professional | None | $3.09 | $3.47 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $4.37 Median $10.23 Typical High $16.98 | Facility | None | $4.37 | $10.23 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $2.40 Median $3.47 Typical High $6.17 | Professional | None | $2.40 | $3.47 | $6.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.27 Median $5.13 Typical High $6.31 | Professional | None | $4.27 | $5.13 | $6.31 |
Medcost Setting Professional Modifier None Typical Low $3.55 Median $7.08 Typical High $8.32 | Professional | None | $3.55 | $7.08 | $8.32 |
Medcost Setting Facility Modifier None Typical Low $3.39 Median $4.07 Typical High $8.51 | Facility | None | $3.39 | $4.07 | $8.51 |
Medcost Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $6.17 | Professional | None | $4.57 | $4.57 | $6.17 |
Sentara Setting Facility Modifier None Typical Low $3.31 Median $6.03 Typical High $7,413.10 | Facility | None | $3.31 | $6.03 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $3.31 Median $5.37 Typical High $4,570.88 | Professional | None | $3.31 | $5.37 | $4,570.88 |
United Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
United Setting Professional Modifier None Typical Low $2.51 Median $3.02 Typical High $5.01 | Professional | None | $2.51 | $3.02 | $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 $1.58 Median $1.95 Typical High $2.04 | Professional | 52 · Reduced service | $1.58 | $1.95 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.79 Typical High $0.81 | Professional | 53 · Discontinued | $0.65 | $0.79 | $0.81 |
Where Virginia sits
The same service costs 3.2 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· 46th of 51
$3.89
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.