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 $0.54 Median $0.69 Typical High $9.77 | Facility | None | $0.54 | $0.69 | $9.77 |
Aetna Setting Professional Modifier None Typical Low $0.54 Median $0.56 Typical High $9.77 | Professional | None | $0.54 | $0.56 | $9.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.45 Median $0.54 Typical High $0.54 | Professional | None | $0.45 | $0.54 | $0.54 |
CareFirst Setting Professional Modifier None Typical Low $0.54 Median $0.54 Typical High $0.54 | Professional | None | $0.54 | $0.54 | $0.54 |
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 $0.54 Median $0.54 Typical High $0.54 | Professional | None | $0.54 | $0.54 | $0.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.46 Median $0.56 Typical High $2.14 | Professional | None | $0.46 | $0.56 | $2.14 |
Medcost Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
Medcost Setting Facility Modifier None Typical Low $1.48 Median $1.55 Typical High $1.55 | Facility | None | $1.48 | $1.55 | $1.55 |
Sentara Setting Facility Modifier None Typical Low $0.55 Median $1.07 Typical High $1.12 | Facility | None | $0.55 | $1.07 | $1.12 |
Sentara Setting Professional Modifier None Typical Low $0.55 Median $1.07 Typical High $1.12 | Professional | None | $0.55 | $1.07 | $1.12 |
United Setting Professional Modifier None Typical Low $0.52 Median $0.54 Typical High $0.56 | Professional | None | $0.52 | $0.54 | $0.56 |
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 $0.27 Median $0.27 Typical High $0.28 | Professional | 52 · Reduced service | $0.27 | $0.27 | $0.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.05 Typical High $0.06 | Professional | 56 · Pre-op care only | $0.05 | $0.05 | $0.06 |
Where Virginia sits
The same service costs 6.3 times more in Texas than in Mississippi. 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· 50th of 51
$0.54
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.