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 $0.55 Median $0.55 Typical High $0.56 | Facility | None | $0.55 | $0.55 | $0.56 |
Aetna Setting Professional Modifier None Typical Low $0.55 Median $0.55 Typical High $0.56 | Professional | None | $0.55 | $0.55 | $0.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.46 Median $0.55 Typical High $0.55 | Professional | None | $0.46 | $0.55 | $0.55 |
CareFirst Setting Professional Modifier None Typical Low $0.42 Median $0.62 Typical High $0.62 | Professional | None | $0.42 | $0.62 | $0.62 |
Cigna Setting Facility Modifier None Typical Low $0.79 Median $1.02 Typical High $1.41 | Facility | None | $0.79 | $1.02 | $1.41 |
Cigna Setting Professional Modifier None Typical Low $0.55 Median $0.55 Typical High $0.55 | Professional | None | $0.55 | $0.55 | $0.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.46 Median $0.56 Typical High $1.29 | Professional | None | $0.46 | $0.56 | $1.29 |
Medcost Setting Professional Modifier None Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | None | $1.12 | $1.12 | $1.12 |
Medcost Setting Facility Modifier None Typical Low $0.89 Median $0.89 Typical High $1.51 | Facility | None | $0.89 | $0.89 | $1.51 |
Sentara Setting Facility Modifier None Typical Low $0.55 Median $0.91 Typical High $0.98 | Facility | None | $0.55 | $0.91 | $0.98 |
Sentara Setting Professional Modifier None Typical Low $0.55 Median $0.91 Typical High $0.98 | Professional | None | $0.55 | $0.91 | $0.98 |
United Setting Professional Modifier None Typical Low $0.41 Median $0.42 Typical High $0.44 | Professional | None | $0.41 | $0.42 | $0.44 |
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 55 · Aftercare only Typical Low $0.08 Median $0.08 Typical High $0.09 | Professional | 55 · Aftercare only | $0.08 | $0.08 | $0.09 |
Where Virginia sits
The same service costs 2.1 times more in Arizona than in Maryland. 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
$0.55
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.