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 $1.95 Median $1.95 Typical High $2.14 | Facility | None | $1.95 | $1.95 | $2.14 |
Aetna Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $2.14 | Professional | None | $1.95 | $1.95 | $2.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.20 Median $1.78 Typical High $2.34 | Professional | None | $1.20 | $1.78 | $2.34 |
CareFirst Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | None | $1.78 | $1.78 | $1.78 |
Cigna Setting Facility Modifier None Typical Low $1.91 Median $1.91 Typical High $1.91 | Facility | None | $1.91 | $1.91 | $1.91 |
Cigna Setting Professional Modifier None Typical Low $1.62 Median $1.62 Typical High $1.62 | Professional | None | $1.62 | $1.62 | $1.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.75 Median $3.55 Typical High $5.25 | Professional | None | $2.75 | $3.55 | $5.25 |
Medcost Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $3.16 | Professional | None | $2.29 | $2.29 | $3.16 |
Medcost Setting Facility Modifier None Typical Low $1.95 Median $3.55 Typical High $4.68 | Facility | None | $1.95 | $3.55 | $4.68 |
Medcost Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $2.40 | Professional | None | $1.74 | $1.74 | $2.40 |
Sentara Setting Facility Modifier None Typical Low $2.24 Median $4.07 Typical High $10,232.93 | Facility | None | $2.24 | $4.07 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $1.86 Median $2.51 Typical High $5.37 | Professional | None | $1.86 | $2.51 | $5.37 |
United Setting Professional Modifier None Typical Low $1.41 Median $1.41 Typical High $1.48 | Professional | None | $1.41 | $1.41 | $1.48 |
1 more rate 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.62 Median $1.02 Typical High $1.82 | Professional | UE · Used equipment | $0.62 | $1.02 | $1.82 |
Where Virginia sits
The same service costs 2.5 times more in Hawaii than in Maine. 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· 26th of 51
$1.78
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.