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 $3.09 Median $3.09 Typical High $3.39 | Facility | None | $3.09 | $3.09 | $3.39 |
Aetna Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.39 | Professional | None | $3.09 | $3.09 | $3.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.00 Median $2.88 Typical High $3.80 | Professional | None | $2.00 | $2.88 | $3.80 |
CareFirst Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | None | $2.82 | $2.82 | $2.82 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Facility | None | $3.02 | $3.02 | $3.02 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | None | $2.57 | $2.57 | $2.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.37 Median $5.62 Typical High $8.13 | Professional | None | $4.37 | $5.62 | $8.13 |
Medcost Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $5.01 | Professional | None | $3.63 | $3.63 | $5.01 |
Medcost Setting Facility Modifier None Typical Low $3.09 Median $5.62 Typical High $7.41 | Facility | None | $3.09 | $5.62 | $7.41 |
Medcost Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $3.80 | Professional | None | $2.75 | $2.75 | $3.80 |
Sentara Setting Facility Modifier None Typical Low $3.63 Median $6.46 Typical High $10,232.93 | Facility | None | $3.63 | $6.46 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $2.95 Median $3.98 Typical High $7.94 | Professional | None | $2.95 | $3.98 | $7.94 |
United Setting Professional Modifier None Typical Low $2.29 Median $2.51 Typical High $3.80 | Professional | None | $2.29 | $2.51 | $3.80 |
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 $1.00 Median $1.82 Typical High $2.88 | Professional | UE · Used equipment | $1.00 | $1.82 | $2.88 |
Where Virginia sits
The same service costs 2.8 times more in Hawaii than in Utah. 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· 23rd of 51
$3.09
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.