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 $8.51 Median $14.45 Typical High $33.88 | Facility | None | $8.51 | $14.45 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $8.71 Typical High $8.91 | Professional | None | $8.51 | $8.71 | $8.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $8.51 Typical High $8.51 | Professional | None | $7.24 | $8.51 | $8.51 |
CareFirst Setting Professional Modifier None Typical Low $9.33 Median $10.96 Typical High $10.96 | Professional | None | $9.33 | $10.96 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $16.22 Typical High $21.88 | Facility | None | $12.30 | $16.22 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.24 Median $8.91 Typical High $52.48 | Professional | None | $7.24 | $8.91 | $52.48 |
Medcost Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Medcost Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $102.33 | Facility | None | $9.33 | $9.33 | $102.33 |
Sentara Setting Facility Modifier None Typical Low $8.71 Median $39.81 Typical High $42.66 | Facility | None | $8.71 | $39.81 | $42.66 |
Sentara Setting Professional Modifier None Typical Low $8.71 Median $39.81 Typical High $42.66 | Professional | None | $8.71 | $39.81 | $42.66 |
United Setting Professional Modifier None Typical Low $9.12 Median $9.33 Typical High $9.77 | Professional | None | $9.12 | $9.33 | $9.77 |
4 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 $4.27 Median $4.27 Typical High $4.47 | Professional | 52 · Reduced service | $4.27 | $4.27 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.74 Typical High $1.78 | Professional | 53 · Discontinued | $1.70 | $1.74 | $1.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.29 Median $1.29 Typical High $1.35 | Professional | 55 · Aftercare only | $1.29 | $1.29 | $1.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.85 Median $0.85 Typical High $0.89 | Professional | 56 · Pre-op care only | $0.85 | $0.85 | $0.89 |
Where Virginia sits
The same service costs 6.5 times more in Oklahoma 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· 47th of 51
$9.12
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.