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 $0.40 Median $0.68 Typical High $2.24 | Facility | None | $0.40 | $0.68 | $2.24 |
Aetna Setting Professional Modifier None Typical Low $0.40 Median $0.52 Typical High $2.24 | Professional | None | $0.40 | $0.52 | $2.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.34 Median $0.40 Typical High $0.40 | Professional | None | $0.34 | $0.40 | $0.40 |
CareFirst Setting Professional Modifier None Typical Low $0.43 Median $0.45 Typical High $0.45 | Professional | None | $0.43 | $0.45 | $0.45 |
Cigna Setting Facility Modifier None Typical Low $0.58 Median $0.76 Typical High $1.05 | Facility | None | $0.58 | $0.76 | $1.05 |
Cigna Setting Professional Modifier None Typical Low $0.40 Median $0.40 Typical High $0.40 | Professional | None | $0.40 | $0.40 | $0.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.34 Median $0.42 Typical High $6.31 | Professional | None | $0.34 | $0.42 | $6.31 |
Medcost Setting Facility Modifier None Typical Low $0.98 Median $1.05 Typical High $1.05 | Facility | None | $0.98 | $1.05 | $1.05 |
Sentara Setting Facility Modifier None Typical Low $0.41 Median $1.26 Typical High $1.32 | Facility | None | $0.41 | $1.26 | $1.32 |
Sentara Setting Professional Modifier None Typical Low $0.41 Median $1.26 Typical High $1.32 | Professional | None | $0.41 | $1.26 | $1.32 |
United Setting Professional Modifier None Typical Low $0.42 Median $0.43 Typical High $0.45 | Professional | None | $0.42 | $0.43 | $0.45 |
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 $0.21 Typical High $0.21 | Professional | 52 · Reduced service | $0.20 | $0.21 | $0.21 |
Where Virginia sits
The same service costs 4.0 times more in Texas 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· 46th of 51
$0.43
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.