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 $1.66 Median $1.66 Typical High $1.82 | Facility | None | $1.66 | $1.66 | $1.82 |
Aetna Setting Professional Modifier None Typical Low $1.66 Median $1.66 Typical High $1.82 | Professional | None | $1.66 | $1.66 | $1.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.05 Median $1.51 Typical High $2.00 | Professional | None | $1.05 | $1.51 | $2.00 |
CareFirst Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | None | $1.51 | $1.51 | $1.51 |
Cigna Setting Facility Modifier None Typical Low $1.62 Median $1.62 Typical High $1.62 | Facility | None | $1.62 | $1.62 | $1.62 |
Cigna Setting Professional Modifier None Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | None | $1.38 | $1.38 | $1.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.29 Median $3.02 Typical High $4.37 | Professional | None | $2.29 | $3.02 | $4.37 |
Medcost Setting Professional Modifier None Typical Low $1.91 Median $1.91 Typical High $2.69 | Professional | None | $1.91 | $1.91 | $2.69 |
Medcost Setting Facility Modifier None Typical Low $1.66 Median $3.02 Typical High $3.98 | Facility | None | $1.66 | $3.02 | $3.98 |
Medcost Setting Professional Modifier None Typical Low $1.48 Median $1.48 Typical High $2.04 | Professional | None | $1.48 | $1.48 | $2.04 |
Sentara Setting Facility Modifier None Typical Low $1.91 Median $3.39 Typical High $10,232.93 | Facility | None | $1.91 | $3.39 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $1.55 Median $2.09 Typical High $4.17 | Professional | None | $1.55 | $2.09 | $4.17 |
United Setting Professional Modifier None Typical Low $1.20 Median $1.35 Typical High $2.04 | Professional | None | $1.20 | $1.35 | $2.04 |
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 $0.52 Median $1.17 Typical High $1.82 | Professional | UE · Used equipment | $0.52 | $1.17 | $1.82 |
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· 24th of 51
$1.62
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.