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 $1.38 Median $1.38 Typical High $1.45 | Facility | None | $1.38 | $1.38 | $1.45 |
Aetna Setting Professional Modifier None Typical Low $1.38 Median $1.38 Typical High $1.45 | Professional | None | $1.38 | $1.38 | $1.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.29 Median $2.82 Typical High $4.47 | Facility | None | $1.29 | $2.82 | $4.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.17 Median $1.38 Typical High $1.38 | Professional | None | $1.17 | $1.38 | $1.38 |
CareFirst Setting Professional Modifier None Typical Low $1.23 Median $1.23 Typical High $1.29 | Professional | None | $1.23 | $1.23 | $1.29 |
Cigna Setting Facility Modifier None Typical Low $2.04 Median $2.57 Typical High $3.55 | Facility | None | $2.04 | $2.57 | $3.55 |
Cigna Setting Professional Modifier None Typical Low $1.41 Median $1.41 Typical High $1.41 | Professional | None | $1.41 | $1.41 | $1.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.17 Median $1.45 Typical High $1.66 | Professional | None | $1.17 | $1.45 | $1.66 |
Medcost Setting Facility Modifier None Typical Low $1.29 Median $1.29 Typical High $2.19 | Facility | None | $1.29 | $1.29 | $2.19 |
Sentara Setting Facility Modifier None Typical Low $1.20 Median $1.35 Typical High $1.82 | Facility | None | $1.20 | $1.35 | $1.82 |
Sentara Setting Professional Modifier None Typical Low $1.20 Median $1.35 Typical High $1.82 | Professional | None | $1.20 | $1.35 | $1.82 |
United Setting Facility Modifier None Typical Low $1.38 Median $1.38 Typical High $1.38 | Facility | None | $1.38 | $1.38 | $1.38 |
United Setting Professional Modifier None Typical Low $1.26 Median $1.29 Typical High $1.35 | Professional | None | $1.26 | $1.29 | $1.35 |
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 $0.69 Median $0.71 Typical High $0.72 | Professional | 52 · Reduced service | $0.69 | $0.71 | $0.72 |
Where Virginia sits
The same service costs 1.7 times more in Arizona than in Iowa. 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
$1.38
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.