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 $1.00 Median $1.00 Typical High $1.07 | Facility | None | $1.00 | $1.00 | $1.07 |
Aetna Setting Professional Modifier None Typical Low $1.00 Median $1.05 Typical High $1.07 | Professional | None | $1.00 | $1.05 | $1.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.02 Median $2.04 Typical High $3.31 | Facility | None | $1.02 | $2.04 | $3.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.85 Median $1.00 Typical High $1.00 | Professional | None | $0.85 | $1.00 | $1.00 |
CareFirst Setting Professional Modifier None Typical Low $0.93 Median $0.93 Typical High $1.02 | Professional | None | $0.93 | $0.93 | $1.02 |
Cigna Setting Facility Modifier None Typical Low $1.48 Median $2.04 Typical High $2.63 | Facility | None | $1.48 | $2.04 | $2.63 |
Cigna Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | None | $1.00 | $1.00 | $1.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.85 Median $1.07 Typical High $1.32 | Professional | None | $0.85 | $1.07 | $1.32 |
Medcost Setting Facility Modifier None Typical Low $1.07 Median $1.07 Typical High $1.74 | Facility | None | $1.07 | $1.07 | $1.74 |
Sentara Setting Facility Modifier None Typical Low $1.00 Median $1.12 Typical High $1.32 | Facility | None | $1.00 | $1.12 | $1.32 |
Sentara Setting Professional Modifier None Typical Low $1.00 Median $1.12 Typical High $1.32 | Professional | None | $1.00 | $1.12 | $1.32 |
United Setting Facility Modifier None Typical Low $1.00 Median $1.00 Typical High $1.00 | Facility | None | $1.00 | $1.00 | $1.00 |
United Setting Professional Modifier None Typical Low $1.02 Median $1.07 Typical High $1.32 | Professional | None | $1.02 | $1.07 | $1.32 |
2 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 $0.51 Median $0.51 Typical High $0.52 | Professional | 52 · Reduced service | $0.51 | $0.51 | $0.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.20 Median $0.20 Typical High $0.21 | Professional | 53 · Discontinued | $0.20 | $0.20 | $0.21 |
Where Virginia sits
The same service costs 1.6 times more in Arizona than in New Jersey. 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· 29th of 51
$1.05
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.