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 $2.14 Median $2.14 Typical High $2.24 | Facility | None | $2.14 | $2.14 | $2.24 |
Aetna Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.24 | Professional | None | $2.14 | $2.14 | $2.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.14 Median $4.37 Typical High $6.92 | Facility | None | $2.14 | $4.37 | $6.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.82 Median $2.14 Typical High $2.14 | Professional | None | $1.82 | $2.14 | $2.14 |
CareFirst Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.14 | Professional | None | $2.04 | $2.04 | $2.14 |
Cigna Setting Facility Modifier None Typical Low $3.09 Median $3.98 Typical High $5.50 | Facility | None | $3.09 | $3.98 | $5.50 |
Cigna Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.82 Median $2.24 Typical High $3.16 | Professional | None | $1.82 | $2.24 | $3.16 |
Medcost Setting Facility Modifier None Typical Low $2.14 Median $2.14 Typical High $3.16 | Facility | None | $2.14 | $2.14 | $3.16 |
Sentara Setting Facility Modifier None Typical Low $2.19 Median $2.51 Typical High $3.02 | Facility | None | $2.19 | $2.51 | $3.02 |
Sentara Setting Professional Modifier None Typical Low $2.19 Median $2.51 Typical High $3.02 | Professional | None | $2.19 | $2.51 | $3.02 |
United Setting Facility Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Facility | None | $2.14 | $2.14 | $2.14 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.14 Typical High $2.24 | Professional | None | $2.09 | $2.14 | $2.24 |
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 $1.07 Median $1.07 Typical High $1.12 | Professional | 52 · Reduced service | $1.07 | $1.07 | $1.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.42 Median $0.43 Typical High $0.44 | Professional | 53 · Discontinued | $0.42 | $0.43 | $0.44 |
Where Virginia sits
The same service costs 3467.4 times more in Alabama than in New Mexico. 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· 40th of 51
$2.14
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.