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 $9.55 Median $10.72 Typical High $20.42 | Facility | None | $9.55 | $10.72 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $16.22 Typical High $20.42 | Professional | None | $9.55 | $16.22 | $20.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.51 Median $15.14 Typical High $22.91 | Professional | None | $8.51 | $15.14 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.22 Median $21.38 Typical High $27.54 | Professional | None | $16.22 | $21.38 | $27.54 |
Medcost Setting Facility Modifier None Typical Low $7.94 Median $14.45 Typical High $30.90 | Facility | None | $7.94 | $14.45 | $30.90 |
Medcost Setting Professional Modifier None Typical Low $6.61 Median $16.60 Typical High $17.38 | Professional | None | $6.61 | $16.60 | $17.38 |
Sentara Setting Facility Modifier None Typical Low $8.91 Median $11.22 Typical High $91.20 | Facility | None | $8.91 | $11.22 | $91.20 |
Sentara Setting Professional Modifier None Typical Low $15.85 Median $17.78 Typical High $24.55 | Professional | None | $15.85 | $17.78 | $24.55 |
United Setting Facility Modifier None Typical Low $70.79 Median $77.62 Typical High $173.78 | Facility | None | $70.79 | $77.62 | $173.78 |
United Setting Professional Modifier None Typical Low $7.76 Median $14.45 Typical High $24.55 | Professional | None | $7.76 | $14.45 | $24.55 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $5.50 Typical High $10.23 | Professional | 52 · Reduced service | $4.79 | $5.50 | $10.23 |
Where Virginia sits
The same service costs 2.3 times more in Alaska than in Louisiana. 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· 39th of 51
$15.14
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.