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 $0.59 Median $0.59 Typical High $0.65 | Facility | None | $0.59 | $0.59 | $0.65 |
Aetna Setting Professional Modifier None Typical Low $0.59 Median $0.59 Typical High $0.65 | Professional | None | $0.59 | $0.59 | $0.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.52 Median $0.76 Typical High $1.07 | Professional | None | $0.52 | $0.76 | $1.07 |
CareFirst Setting Professional Modifier None Typical Low $0.52 Median $0.52 Typical High $0.68 | Professional | None | $0.52 | $0.52 | $0.68 |
Cigna Setting Facility Modifier None Typical Low $0.58 Median $0.58 Typical High $0.71 | Facility | None | $0.58 | $0.58 | $0.71 |
Cigna Setting Professional Modifier None Typical Low $0.49 Median $0.49 Typical High $0.58 | Professional | None | $0.49 | $0.49 | $0.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.68 Median $0.98 Typical High $1.26 | Professional | None | $0.68 | $0.98 | $1.26 |
Medcost Setting Professional Modifier None Typical Low $0.60 Median $0.68 Typical High $0.93 | Professional | None | $0.60 | $0.68 | $0.93 |
Medcost Setting Facility Modifier None Typical Low $0.29 Median $0.52 Typical High $0.69 | Facility | None | $0.29 | $0.52 | $0.69 |
Medcost Setting Professional Modifier None Typical Low $0.52 Median $0.59 Typical High $1.00 | Professional | None | $0.52 | $0.59 | $1.00 |
Sentara Setting Facility Modifier None Typical Low $0.48 Median $0.71 Typical High $2.09 | Facility | None | $0.48 | $0.71 | $2.09 |
Sentara Setting Professional Modifier None Typical Low $0.63 Median $0.76 Typical High $1.48 | Professional | None | $0.63 | $0.76 | $1.48 |
United Setting Professional Modifier None Typical Low $0.41 Median $0.48 Typical High $0.71 | Professional | None | $0.41 | $0.48 | $0.71 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.06 Median $0.06 Typical High $0.07 | Professional | RR · Rental | $0.06 | $0.06 | $0.07 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.47 Median $0.47 Typical High $0.47 | Professional | UE · Used equipment | $0.47 | $0.47 | $0.47 |
Where Virginia sits
The same service costs 9.5 times more in Kansas than in Alabama. 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· 36th of 51
$0.59
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.