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 $2.34 Median $2.34 Typical High $2.57 | Facility | None | $2.34 | $2.34 | $2.57 |
Aetna Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.57 | Professional | None | $2.34 | $2.34 | $2.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $2.69 | Professional | None | $1.95 | $1.95 | $2.69 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.41 Median $1.45 Typical High $1.51 | Professional | UE · Used equipment | $1.41 | $1.45 | $1.51 |
CareFirst Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $2.63 | Professional | None | $2.57 | $2.57 | $2.63 |
Cigna Setting Facility Modifier None Typical Low $2.29 Median $2.29 Typical High $2.82 | Facility | None | $2.29 | $2.29 | $2.82 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $2.29 | Professional | None | $1.95 | $1.95 | $2.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.69 Median $3.89 Typical High $5.01 | Professional | None | $2.69 | $3.89 | $5.01 |
Medcost Setting Professional Modifier None Typical Low $1.91 Median $2.57 Typical High $2.57 | Professional | None | $1.91 | $2.57 | $2.57 |
Medcost Setting Facility Modifier None Typical Low $1.15 Median $2.09 Typical High $2.69 | Facility | None | $1.15 | $2.09 | $2.69 |
Medcost Setting Professional Modifier None Typical Low $2.09 Median $2.34 Typical High $2.82 | Professional | None | $2.09 | $2.34 | $2.82 |
Sentara Setting Facility Modifier None Typical Low $1.91 Median $2.95 Typical High $13.80 | Facility | None | $1.91 | $2.95 | $13.80 |
Sentara Setting Professional Modifier None Typical Low $2.51 Median $3.09 Typical High $6.31 | Professional | None | $2.51 | $3.09 | $6.31 |
United Setting Professional Modifier None Typical Low $1.58 Median $1.86 Typical High $2.82 | Professional | None | $1.58 | $1.86 | $2.82 |
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 RR · Rental Typical Low $0.19 Median $0.19 Typical High $0.27 | Professional | RR · Rental | $0.19 | $0.19 | $0.27 |
Where Virginia sits
The same service costs 2.2 times more in Kansas than in Alabama. 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· 29th of 51
$2.34
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.