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 $0.14 Median $0.22 Typical High $0.44 | Facility | None | $0.14 | $0.22 | $0.44 |
Aetna Setting Professional Modifier None Typical Low $0.14 Median $0.18 Typical High $0.44 | Professional | None | $0.14 | $0.18 | $0.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.11 Median $0.14 Typical High $0.14 | Professional | None | $0.11 | $0.14 | $0.14 |
CareFirst Setting Professional Modifier None Typical Low $0.15 Median $0.15 Typical High $0.17 | Professional | None | $0.15 | $0.15 | $0.17 |
Cigna Setting Facility Modifier None Typical Low $0.20 Median $0.26 Typical High $0.36 | Facility | None | $0.20 | $0.26 | $0.36 |
Cigna Setting Professional Modifier None Typical Low $0.14 Median $0.14 Typical High $0.14 | Professional | None | $0.14 | $0.14 | $0.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.12 Median $0.15 Typical High $0.52 | Professional | None | $0.12 | $0.15 | $0.52 |
Medcost Setting Professional Modifier None Typical Low $1.70 Median $1.70 Typical High $1.70 | Professional | None | $1.70 | $1.70 | $1.70 |
Medcost Setting Facility Modifier None Typical Low $0.17 Median $0.17 Typical High $0.22 | Facility | None | $0.17 | $0.17 | $0.22 |
Sentara Setting Facility Modifier None Typical Low $0.14 Median $0.36 Typical High $0.39 | Facility | None | $0.14 | $0.36 | $0.39 |
Sentara Setting Professional Modifier None Typical Low $0.14 Median $0.36 Typical High $0.39 | Professional | None | $0.14 | $0.36 | $0.39 |
United Setting Professional Modifier None Typical Low $0.16 Median $0.17 Typical High $0.21 | Professional | None | $0.16 | $0.17 | $0.21 |
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 $0.07 Median $0.07 Typical High $0.08 | Professional | 52 · Reduced service | $0.07 | $0.07 | $0.08 |
Where Virginia sits
The same service costs 4.4 times more in Michigan than in South Carolina. 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· 17th of 51
$0.17
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.