How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1.74 | Facility | None | $1.74 | $1.74 | $1.74 |
Aetna Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | None | $1.74 | $1.74 | $1.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.18 Median $0.28 Typical High $0.44 | Professional | None | $0.18 | $0.28 | $0.44 |
CareFirst Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | None | $2.51 | $2.51 | $2.51 |
Cigna Setting Facility Modifier None Typical Low $0.23 Median $0.23 Typical High $0.23 | Facility | None | $0.23 | $0.23 | $0.23 |
Cigna Setting Professional Modifier None Typical Low $0.20 Median $0.20 Typical High $0.20 | Professional | None | $0.20 | $0.20 | $0.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $6.03 | Professional | None | $5.01 | $5.01 | $6.03 |
Medcost Setting Facility Modifier None Typical Low $1.74 Median $1.74 Typical High $2.69 | Facility | None | $1.74 | $1.74 | $2.69 |
Medcost Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | None | $2.00 | $2.00 | $2.00 |
Sentara Setting Facility Modifier None Typical Low $891.25 Median $2,570.40 Typical High $11,481.54 | Facility | None | $891.25 | $2,570.40 | $11,481.54 |
Sentara Setting Professional Modifier None Typical Low $1.20 Median $2.09 Typical High $10,232.93 | Professional | None | $1.20 | $2.09 | $10,232.93 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.14 Median $0.23 Typical High $0.28 | Professional | UE · Used equipment | $0.14 | $0.23 | $0.28 |
Where Virginia sits
The same service costs 398.1 times more in Montana than in Oklahoma. 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· 24th 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.