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 $5.62 Typical High $6.31 | Facility | None | $5.50 | $5.62 | $6.31 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $5.62 Typical High $5.62 | Professional | None | $5.50 | $5.62 | $5.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.25 Median $6.31 Typical High $7.94 | Professional | None | $5.25 | $6.31 | $7.94 |
CareFirst Setting Professional Modifier None Typical Low $6.17 Median $6.92 Typical High $8.13 | Professional | None | $6.17 | $6.92 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $23.99 Typical High $154.88 | Facility | None | $20.89 | $23.99 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $52.48 Typical High $85.11 | Professional | None | $32.36 | $52.48 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.75 Median $6.92 Typical High $9.33 | Professional | None | $5.75 | $6.92 | $9.33 |
Medcost Setting Professional Modifier None Typical Low $19.95 Median $24.55 Typical High $26.92 | Professional | None | $19.95 | $24.55 | $26.92 |
Medcost Setting Facility Modifier None Typical Low $9.55 Median $22.91 Typical High $22.91 | Facility | None | $9.55 | $22.91 | $22.91 |
Medcost Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $5.01 | Professional | None | $4.79 | $4.79 | $5.01 |
Sentara Setting Facility Modifier None Typical Low $4.90 Median $11.22 Typical High $7,413.10 | Facility | None | $4.90 | $11.22 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $3.72 Median $6.61 Typical High $46.77 | Professional | None | $3.72 | $6.61 | $46.77 |
United Setting Facility Modifier None Typical Low $251.19 Median $275.42 Typical High $616.60 | Facility | None | $251.19 | $275.42 | $616.60 |
United Setting Professional Modifier None Typical Low $3.98 Median $7.24 Typical High $25.70 | Professional | None | $3.98 | $7.24 | $25.70 |
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 $2.82 Typical High $2.82 | Professional | 52 · Reduced service | $2.75 | $2.82 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | 53 · Discontinued | $1.12 | $1.12 | $1.12 |
Where Virginia sits
The same service costs 3.9 times more in Indiana than in New York. 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
$6.17
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.