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 $4.37 Median $5.01 Typical High $13.80 | Facility | None | $4.37 | $5.01 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $5.01 Typical High $5.25 | Professional | None | $4.37 | $5.01 | $5.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $28.84 | Facility | None | $5.89 | $5.89 | $28.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.34 Median $3.31 Typical High $4.27 | Professional | None | $2.34 | $3.31 | $4.27 |
CareFirst Setting Professional Modifier None Typical Low $4.27 Median $4.68 Typical High $6.03 | Professional | None | $4.27 | $4.68 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $11.22 Typical High $16.98 | Facility | None | $6.03 | $11.22 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $3.55 Typical High $7.24 | Professional | None | $2.82 | $3.55 | $7.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.89 Median $7.08 Typical High $8.71 | Professional | None | $5.89 | $7.08 | $8.71 |
Medcost Setting Professional Modifier None Typical Low $3.55 Median $7.24 Typical High $8.51 | Professional | None | $3.55 | $7.24 | $8.51 |
Medcost Setting Facility Modifier None Typical Low $3.55 Median $5.01 Typical High $8.51 | Facility | None | $3.55 | $5.01 | $8.51 |
Medcost Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | None | $5.89 | $5.89 | $5.89 |
Sentara Setting Facility Modifier None Typical Low $3.02 Median $8.13 Typical High $7,413.10 | Facility | None | $3.02 | $8.13 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $3.02 Median $8.32 Typical High $7,413.10 | Professional | None | $3.02 | $8.32 | $7,413.10 |
United Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $15.14 | Facility | None | $7.08 | $7.08 | $15.14 |
United Setting Professional Modifier None Typical Low $1.58 Median $2.69 Typical High $3.89 | Professional | None | $1.58 | $2.69 | $3.89 |
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 $2.19 Median $2.51 Typical High $2.63 | Professional | 52 · Reduced service | $2.19 | $2.51 | $2.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $1.00 Typical High $1.05 | Professional | 53 · Discontinued | $0.87 | $1.00 | $1.05 |
Where Virginia sits
The same service costs 3.9 times more in Kansas than in Vermont. 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· 45th of 51
$4.37
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.