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 $0.98 Median $0.98 Typical High $1.07 | Facility | None | $0.98 | $0.98 | $1.07 |
Aetna Setting Professional Modifier None Typical Low $0.98 Median $0.98 Typical High $1.07 | Professional | None | $0.98 | $0.98 | $1.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.66 Median $0.91 Typical High $1.20 | Professional | None | $0.66 | $0.91 | $1.20 |
CareFirst Setting Professional Modifier None Typical Low $0.89 Median $0.89 Typical High $0.89 | Professional | None | $0.89 | $0.89 | $0.89 |
Cigna Setting Facility Modifier None Typical Low $0.95 Median $0.95 Typical High $0.95 | Facility | None | $0.95 | $0.95 | $0.95 |
Cigna Setting Professional Modifier None Typical Low $0.81 Median $0.81 Typical High $0.81 | Professional | None | $0.81 | $0.81 | $0.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.38 Median $1.78 Typical High $2.57 | Professional | None | $1.38 | $1.78 | $2.57 |
Medcost Setting Professional Modifier None Typical Low $1.15 Median $1.15 Typical High $1.58 | Professional | None | $1.15 | $1.15 | $1.58 |
Medcost Setting Facility Modifier None Typical Low $0.98 Median $1.78 Typical High $2.34 | Facility | None | $0.98 | $1.78 | $2.34 |
Medcost Setting Professional Modifier None Typical Low $0.87 Median $0.87 Typical High $1.20 | Professional | None | $0.87 | $0.87 | $1.20 |
Sentara Setting Facility Modifier None Typical Low $1.12 Median $2.04 Typical High $10,232.93 | Facility | None | $1.12 | $2.04 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $0.91 Median $1.26 Typical High $2.51 | Professional | None | $0.91 | $1.26 | $2.51 |
United Setting Professional Modifier None Typical Low $0.72 Median $0.79 Typical High $1.20 | Professional | None | $0.72 | $0.79 | $1.20 |
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 $0.31 Median $0.71 Typical High $0.95 | Professional | UE · Used equipment | $0.31 | $0.71 | $0.95 |
Where Virginia sits
The same service costs 2.6 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· 25th of 51
$0.95
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.