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 $0.69 Median $1.78 Typical High $2.29 | Facility | None | $0.69 | $1.78 | $2.29 |
Aetna Setting Professional Modifier None Typical Low $0.69 Median $1.78 Typical High $2.29 | Professional | None | $0.69 | $1.78 | $2.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.51 Median $1.78 Typical High $1.78 | Professional | None | $1.51 | $1.78 | $1.78 |
CareFirst Setting Professional Modifier None Typical Low $1.55 Median $1.55 Typical High $1.66 | Professional | None | $1.55 | $1.55 | $1.66 |
Cigna Setting Facility Modifier None Typical Low $2.57 Median $3.31 Typical High $4.57 | Facility | None | $2.57 | $3.31 | $4.57 |
Cigna Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | None | $1.78 | $1.78 | $1.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.51 Median $1.86 Typical High $3.55 | Professional | None | $1.51 | $1.86 | $3.55 |
Medcost Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | None | $1.00 | $1.00 | $1.00 |
Medcost Setting Facility Modifier None Typical Low $1.66 Median $1.66 Typical High $1.95 | Facility | None | $1.66 | $1.66 | $1.95 |
Sentara Setting Facility Modifier None Typical Low $1.82 Median $3.80 Typical High $3.98 | Facility | None | $1.82 | $3.80 | $3.98 |
Sentara Setting Professional Modifier None Typical Low $1.82 Median $3.80 Typical High $3.98 | Professional | None | $1.82 | $3.80 | $3.98 |
United Setting Professional Modifier None Typical Low $1.62 Median $1.66 Typical High $1.74 | Professional | None | $1.62 | $1.66 | $1.74 |
4 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 $0.89 Median $0.89 Typical High $0.93 | Professional | 52 · Reduced service | $0.89 | $0.89 | $0.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.35 Median $0.36 Typical High $0.37 | Professional | 53 · Discontinued | $0.35 | $0.36 | $0.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.27 Median $0.27 Typical High $0.28 | Professional | 55 · Aftercare only | $0.27 | $0.27 | $0.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.18 Median $0.18 Typical High $0.19 | Professional | 56 · Pre-op care only | $0.18 | $0.18 | $0.19 |
Where Virginia sits
The same service costs 2.6 times more in Wyoming than in Hawaii. 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· 23rd of 51
$1.78
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.