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 $1.74 Median $1.74 Typical High $1.82 | Facility | None | $1.74 | $1.74 | $1.82 |
Aetna Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $1.82 | Professional | None | $1.74 | $1.74 | $1.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.74 Median $3.55 Typical High $5.62 | Facility | None | $1.74 | $3.55 | $5.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.45 Median $1.74 Typical High $1.74 | Professional | None | $1.45 | $1.74 | $1.74 |
CareFirst Setting Professional Modifier None Typical Low $1.48 Median $1.48 Typical High $1.74 | Professional | None | $1.48 | $1.48 | $1.74 |
Cigna Setting Facility Modifier None Typical Low $2.51 Median $3.24 Typical High $4.47 | Facility | None | $2.51 | $3.24 | $4.47 |
Cigna Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | None | $1.74 | $1.74 | $1.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.45 Median $1.82 Typical High $2.29 | Professional | None | $1.45 | $1.82 | $2.29 |
Medcost Setting Facility Modifier None Typical Low $1.62 Median $1.62 Typical High $2.34 | Facility | None | $1.62 | $1.62 | $2.34 |
Sentara Setting Facility Modifier None Typical Low $1.78 Median $1.82 Typical High $2.24 | Facility | None | $1.78 | $1.82 | $2.24 |
Sentara Setting Professional Modifier None Typical Low $1.78 Median $1.82 Typical High $2.24 | Professional | None | $1.78 | $1.82 | $2.24 |
United Setting Facility Modifier None Typical Low $1.74 Median $1.74 Typical High $1.74 | Facility | None | $1.74 | $1.74 | $1.74 |
United Setting Professional Modifier None Typical Low $1.70 Median $1.74 Typical High $1.82 | Professional | None | $1.70 | $1.74 | $1.82 |
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 $0.85 Median $0.87 Typical High $0.89 | Professional | 52 · Reduced service | $0.85 | $0.87 | $0.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.34 Median $0.35 Typical High $0.36 | Professional | 53 · Discontinued | $0.34 | $0.35 | $0.36 |
Where Virginia sits
The same service costs 1.8 times more in Alaska than in Virginia. 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· 51st of 51
$1.74
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.