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 $4.27 Median $4.27 Typical High $4.27 | Facility | None | $4.27 | $4.27 | $4.27 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $4.27 Typical High $6.76 | Professional | None | $4.07 | $4.27 | $6.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $22.91 | Facility | None | $11.22 | $11.22 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.02 Median $7.41 Typical High $7.94 | Professional | None | $3.02 | $7.41 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $16.98 Typical High $25.70 | Facility | None | $6.46 | $16.98 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $11.75 | Professional | None | $2.63 | $2.63 | $11.75 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.22 Median $13.49 Typical High $16.60 | Professional | None | $11.22 | $13.49 | $16.60 |
Medcost Setting Facility Modifier None Typical Low $4.27 Median $8.71 Typical High $13.18 | Facility | None | $4.27 | $8.71 | $13.18 |
Medcost Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | None | $3.24 | $3.24 | $3.24 |
Sentara Setting Facility Modifier None Typical Low $5.50 Median $9.55 Typical High $18.62 | Facility | None | $5.50 | $9.55 | $18.62 |
Sentara Setting Professional Modifier None Typical Low $5.50 Median $9.55 Typical High $18.62 | Professional | None | $5.50 | $9.55 | $18.62 |
United Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.02 Typical High $6.76 | Professional | None | $2.09 | $3.02 | $6.76 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.04 Median $2.14 Typical High $3.98 | Professional | 52 · Reduced service | $2.04 | $2.14 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.85 Typical High $1.58 | Professional | 53 · Discontinued | $0.81 | $0.85 | $1.58 |
Where Virginia sits
The same service costs 5.2 times more in Montana than in West Virginia. 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· 17th of 51
$7.41
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.