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 $2.29 Median $2.29 Typical High $2.40 | Facility | None | $2.29 | $2.29 | $2.40 |
Aetna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.40 | Professional | None | $2.29 | $2.29 | $2.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.24 Median $4.68 Typical High $7.59 | Facility | None | $2.24 | $4.68 | $7.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.95 Median $2.29 Typical High $2.29 | Professional | None | $1.95 | $2.29 | $2.29 |
CareFirst Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.24 | Professional | None | $2.14 | $2.14 | $2.24 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $4.37 Typical High $6.03 | Facility | None | $3.39 | $4.37 | $6.03 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | None | $2.29 | $2.29 | $2.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.95 Median $2.40 Typical High $3.39 | Professional | None | $1.95 | $2.40 | $3.39 |
Medcost Setting Facility Modifier None Typical Low $2.24 Median $2.24 Typical High $3.63 | Facility | None | $2.24 | $2.24 | $3.63 |
Sentara Setting Facility Modifier None Typical Low $2.34 Median $2.69 Typical High $3.24 | Facility | None | $2.34 | $2.69 | $3.24 |
Sentara Setting Professional Modifier None Typical Low $2.34 Median $2.69 Typical High $3.24 | Professional | None | $2.34 | $2.69 | $3.24 |
United Setting Facility Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Facility | None | $2.29 | $2.29 | $2.29 |
United Setting Professional Modifier None Typical Low $2.14 Median $2.24 Typical High $2.34 | Professional | None | $2.14 | $2.24 | $2.34 |
1 more rate 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 $1.15 Median $1.15 Typical High $1.20 | Professional | 52 · Reduced service | $1.15 | $1.15 | $1.20 |
Where Virginia sits
The same service costs 1.9 times more in Alaska than in Rhode Island. 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· 38th of 51
$2.29
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.