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 $1.10 Median $1.10 Typical High $1.15 | Facility | None | $1.10 | $1.10 | $1.15 |
Aetna Setting Professional Modifier None Typical Low $1.10 Median $1.12 Typical High $1.15 | Professional | None | $1.10 | $1.12 | $1.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.93 Median $1.10 Typical High $1.10 | Professional | None | $0.93 | $1.10 | $1.10 |
CareFirst Setting Professional Modifier None Typical Low $1.20 Median $1.32 Typical High $1.32 | Professional | None | $1.20 | $1.32 | $1.32 |
Cigna Setting Facility Modifier None Typical Low $1.62 Median $2.09 Typical High $2.88 | Facility | None | $1.62 | $2.09 | $2.88 |
Cigna Setting Professional Modifier None Typical Low $1.10 Median $1.10 Typical High $1.10 | Professional | None | $1.10 | $1.10 | $1.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.93 Median $1.15 Typical High $4.47 | Professional | None | $0.93 | $1.15 | $4.47 |
Medcost Setting Facility Modifier None Typical Low $1.17 Median $1.17 Typical High $3.24 | Facility | None | $1.17 | $1.17 | $3.24 |
Sentara Setting Facility Modifier None Typical Low $1.12 Median $2.14 Typical High $2.29 | Facility | None | $1.12 | $2.14 | $2.29 |
Sentara Setting Professional Modifier None Typical Low $1.12 Median $2.14 Typical High $2.29 | Professional | None | $1.12 | $2.14 | $2.29 |
United Setting Professional Modifier None Typical Low $1.15 Median $1.17 Typical High $1.23 | Professional | None | $1.15 | $1.17 | $1.23 |
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 $0.55 Median $0.56 Typical High $0.58 | Professional | 52 · Reduced service | $0.55 | $0.56 | $0.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.22 Median $0.22 Typical High $0.23 | Professional | 53 · Discontinued | $0.22 | $0.22 | $0.23 |
Where Virginia sits
The same service costs 3.0 times more in Oklahoma than in Delaware. 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· 47th of 51
$1.15
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.