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 $0.63 Median $0.63 Typical High $0.69 | Facility | None | $0.63 | $0.63 | $0.69 |
Aetna Setting Professional Modifier None Typical Low $0.63 Median $0.63 Typical High $0.69 | Professional | None | $0.63 | $0.63 | $0.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.50 Median $0.50 Typical High $0.51 | Professional | None | $0.50 | $0.50 | $0.51 |
CareFirst Setting Professional Modifier None Typical Low $0.89 Median $0.89 Typical High $0.89 | Professional | None | $0.89 | $0.89 | $0.89 |
Cigna Setting Facility Modifier None Typical Low $0.62 Median $0.62 Typical High $0.76 | Facility | None | $0.62 | $0.62 | $0.76 |
Cigna Setting Professional Modifier None Typical Low $0.52 Median $0.52 Typical High $0.52 | Professional | None | $0.52 | $0.52 | $0.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.78 Median $1.05 Typical High $1.41 | Professional | None | $0.78 | $1.05 | $1.41 |
Medcost Setting Professional Modifier None Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | None | $0.68 | $0.68 | $0.68 |
Medcost Setting Facility Modifier None Typical Low $0.35 Median $0.55 Typical High $0.72 | Facility | None | $0.35 | $0.55 | $0.72 |
Medcost Setting Professional Modifier None Typical Low $0.55 Median $0.55 Typical High $4.17 | Professional | None | $0.55 | $0.55 | $4.17 |
Sentara Setting Facility Modifier None Typical Low $0.59 Median $0.93 Typical High $2.24 | Facility | None | $0.59 | $0.93 | $2.24 |
Sentara Setting Professional Modifier None Typical Low $0.60 Median $0.89 Typical High $1.74 | Professional | None | $0.60 | $0.89 | $1.74 |
United Setting Professional Modifier None Typical Low $0.45 Median $0.51 Typical High $0.83 | Professional | None | $0.45 | $0.51 | $0.83 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.07 Median $0.07 Typical High $0.50 | Professional | RR · Rental | $0.07 | $0.07 | $0.50 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.37 Median $0.37 Typical High $0.50 | Professional | UE · Used equipment | $0.37 | $0.37 | $0.50 |
Where Virginia sits
The same service costs 2.7 times more in Kansas than in Connecticut. 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· 47th of 51
$0.52
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.