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 $0.91 Median $1.35 Typical High $1.78 | Facility | None | $0.91 | $1.35 | $1.78 |
Aetna Setting Professional Modifier None Typical Low $0.91 Median $1.35 Typical High $2.04 | Professional | None | $0.91 | $1.35 | $2.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.12 Median $1.35 Typical High $1.35 | Professional | None | $1.12 | $1.35 | $1.35 |
CareFirst Setting Professional Modifier None Typical Low $1.29 Median $1.29 Typical High $1.35 | Professional | None | $1.29 | $1.29 | $1.35 |
Cigna Setting Facility Modifier None Typical Low $1.95 Median $2.51 Typical High $3.47 | Facility | None | $1.95 | $2.51 | $3.47 |
Cigna Setting Professional Modifier None Typical Low $1.35 Median $1.35 Typical High $1.35 | Professional | None | $1.35 | $1.35 | $1.35 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.15 Median $1.41 Typical High $8.51 | Professional | None | $1.15 | $1.41 | $8.51 |
Medcost Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | None | $8.32 | $8.32 | $8.32 |
Medcost Setting Facility Modifier None Typical Low $2.19 Median $4.47 Typical High $4.47 | Facility | None | $2.19 | $4.47 | $4.47 |
Sentara Setting Facility Modifier None Typical Low $1.38 Median $4.47 Typical High $4.79 | Facility | None | $1.38 | $4.47 | $4.79 |
Sentara Setting Professional Modifier None Typical Low $1.38 Median $4.47 Typical High $4.79 | Professional | None | $1.38 | $4.47 | $4.79 |
United Setting Professional Modifier None Typical Low $1.35 Median $1.35 Typical High $1.45 | Professional | None | $1.35 | $1.35 | $1.45 |
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 $0.68 Median $0.68 Typical High $0.71 | Professional | 52 · Reduced service | $0.68 | $0.68 | $0.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.27 Median $0.27 Typical High $0.28 | Professional | 53 · Discontinued | $0.27 | $0.27 | $0.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.20 Median $0.20 Typical High $0.21 | Professional | 55 · Aftercare only | $0.20 | $0.20 | $0.21 |
Where Virginia sits
The same service costs 3.2 times more in Wyoming than in Maine. 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· 50th of 51
$1.35
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.