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 $0.39 Median $0.43 Typical High $1.12 | Facility | None | $0.39 | $0.43 | $1.12 |
Aetna Setting Professional Modifier None Typical Low $0.39 Median $0.41 Typical High $0.42 | Professional | None | $0.39 | $0.41 | $0.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.33 Median $0.39 Typical High $0.39 | Professional | None | $0.33 | $0.39 | $0.39 |
CareFirst Setting Professional Modifier None Typical Low $0.43 Median $0.43 Typical High $0.48 | Professional | None | $0.43 | $0.43 | $0.48 |
Cigna Setting Facility Modifier None Typical Low $0.56 Median $0.74 Typical High $1.02 | Facility | None | $0.56 | $0.74 | $1.02 |
Cigna Setting Professional Modifier None Typical Low $0.39 Median $0.39 Typical High $0.39 | Professional | None | $0.39 | $0.39 | $0.39 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.33 Median $0.41 Typical High $2.19 | Professional | None | $0.33 | $0.41 | $2.19 |
Medcost Setting Facility Modifier None Typical Low $0.48 Median $0.48 Typical High $1.26 | Facility | None | $0.48 | $0.48 | $1.26 |
Sentara Setting Facility Modifier None Typical Low $0.40 Median $2.14 Typical High $2.29 | Facility | None | $0.40 | $2.14 | $2.29 |
Sentara Setting Professional Modifier None Typical Low $0.40 Median $2.14 Typical High $2.29 | Professional | None | $0.40 | $2.14 | $2.29 |
United Setting Professional Modifier None Typical Low $0.47 Median $0.48 Typical High $0.50 | Professional | None | $0.47 | $0.48 | $0.50 |
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 $0.20 Median $0.20 Typical High $0.21 | Professional | 52 · Reduced service | $0.20 | $0.20 | $0.21 |
Where Virginia sits
The same service costs 5.2 times more in Wyoming than in Georgia. 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· 47th of 51
$0.42
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.