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 $9.77 Median $11.22 Typical High $14.79 | Facility | None | $9.77 | $11.22 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $11.75 Typical High $14.79 | Professional | None | $9.77 | $11.75 | $14.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $14.79 Typical High $17.38 | Professional | None | $12.88 | $14.79 | $17.38 |
CareFirst Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $4.57 Typical High $14.45 | Professional | None | $3.02 | $4.57 | $14.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.47 Median $12.88 Typical High $19.05 | Professional | None | $10.47 | $12.88 | $19.05 |
Medcost Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Medcost Setting Facility Modifier None Typical Low $6.46 Median $13.18 Typical High $25.12 | Facility | None | $6.46 | $13.18 | $25.12 |
Medcost Setting Professional Modifier None Typical Low $2.00 Median $4.17 Typical High $12.02 | Professional | None | $2.00 | $4.17 | $12.02 |
Sentara Setting Facility Modifier None Typical Low $4.68 Median $17.78 Typical High $10,232.93 | Facility | None | $4.68 | $17.78 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $19.50 | Professional | None | $13.18 | $13.18 | $19.50 |
United Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $14.79 | Professional | None | $11.22 | $11.22 | $14.79 |
6 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 Facility Modifier AF · Specialist physician Typical Low $12.02 Median $13.80 Typical High $14.79 | Facility | AF · Specialist physician | $12.02 | $13.80 | $14.79 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $8.91 Median $10.23 Typical High $11.22 | Facility | HO · Master's level | $8.91 | $10.23 | $11.22 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $10.23 Median $11.75 Typical High $12.59 | Facility | TD · Registered nurse | $10.23 | $11.75 | $12.59 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $3.39 Median $13.18 Typical High $14.79 | Professional | AF · Specialist physician | $3.39 | $13.18 | $14.79 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $2.51 Median $9.77 Typical High $11.22 | Professional | HO · Master's level | $2.51 | $9.77 | $11.22 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $2.88 Median $11.22 Typical High $12.59 | Professional | TD · Registered nurse | $2.88 | $11.22 | $12.59 |
Where Virginia sits
The same service costs 1.8 times more in Alaska than in Georgia. 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· 16th of 51
$12.88
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.