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 $3.39 Median $4.37 Typical High $28.18 | Facility | None | $3.39 | $4.37 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.55 Typical High $28.18 | Professional | None | $3.39 | $3.55 | $28.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
CareFirst Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $30.90 | Professional | None | $4.90 | $4.90 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $4.90 Median $6.76 Typical High $8.71 | Facility | None | $4.90 | $6.76 | $8.71 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.88 Median $3.55 Typical High $83.18 | Professional | None | $2.88 | $3.55 | $83.18 |
Medcost Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $22.39 | Facility | None | $21.88 | $21.88 | $22.39 |
Sentara Setting Facility Modifier None Typical Low $3.47 Median $21.88 Typical High $23.44 | Facility | None | $3.47 | $21.88 | $23.44 |
Sentara Setting Professional Modifier None Typical Low $3.47 Median $21.88 Typical High $23.44 | Professional | None | $3.47 | $21.88 | $23.44 |
United Setting Professional Modifier None Typical Low $30.90 Median $32.36 Typical High $83.18 | Professional | None | $30.90 | $32.36 | $83.18 |
3 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 $1.70 Median $1.70 Typical High $1.78 | Professional | 52 · Reduced service | $1.70 | $1.70 | $1.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.68 Typical High $0.71 | Professional | 53 · Discontinued | $0.68 | $0.68 | $0.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.50 Median $0.51 Typical High $0.52 | Professional | 55 · Aftercare only | $0.50 | $0.51 | $0.52 |
Where Virginia sits
The same service costs 9.1 times more in Rhode Island than in Florida. 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· 41st of 51
$4.17
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.