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 $0.60 Median $1.12 Typical High $4.47 | Facility | None | $0.60 | $1.12 | $4.47 |
Aetna Setting Professional Modifier None Typical Low $0.60 Median $0.60 Typical High $0.63 | Professional | None | $0.60 | $0.60 | $0.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.51 Median $0.60 Typical High $0.60 | Professional | None | $0.51 | $0.60 | $0.60 |
CareFirst Setting Professional Modifier None Typical Low $0.56 Median $0.56 Typical High $0.63 | Professional | None | $0.56 | $0.56 | $0.63 |
Cigna Setting Facility Modifier None Typical Low $0.87 Median $1.23 Typical High $1.55 | Facility | None | $0.87 | $1.23 | $1.55 |
Cigna Setting Professional Modifier None Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | None | $0.60 | $0.60 | $0.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.51 Median $0.63 Typical High $3.02 | Professional | None | $0.51 | $0.63 | $3.02 |
Medcost Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
Medcost Setting Facility Modifier None Typical Low $1.41 Median $1.74 Typical High $1.74 | Facility | None | $1.41 | $1.74 | $1.74 |
Sentara Setting Facility Modifier None Typical Low $0.62 Median $2.04 Typical High $2.14 | Facility | None | $0.62 | $2.04 | $2.14 |
Sentara Setting Professional Modifier None Typical Low $0.62 Median $2.04 Typical High $2.14 | Professional | None | $0.62 | $2.04 | $2.14 |
United Setting Professional Modifier None Typical Low $0.62 Median $0.66 Typical High $0.81 | Professional | None | $0.62 | $0.66 | $0.81 |
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 $0.30 Median $0.30 Typical High $0.32 | Professional | 52 · Reduced service | $0.30 | $0.30 | $0.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.12 Median $0.12 Typical High $0.13 | Professional | 53 · Discontinued | $0.12 | $0.12 | $0.13 |
Where Virginia sits
The same service costs 3.4 times more in Wyoming 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· 43rd of 51
$0.62
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.