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 $2.69 Median $2.69 Typical High $2.95 | Facility | None | $2.69 | $2.69 | $2.95 |
Aetna Setting Professional Modifier None Typical Low $2.69 Median $2.75 Typical High $2.95 | Professional | None | $2.69 | $2.75 | $2.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.19 | Professional | None | $2.14 | $2.14 | $2.19 |
CareFirst Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | None | $2.82 | $2.82 | $2.82 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | None | $1.82 | $1.82 | $1.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.31 Median $4.47 Typical High $6.17 | Professional | None | $3.31 | $4.47 | $6.17 |
Medcost Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | None | $2.95 | $2.95 | $2.95 |
Medcost Setting Facility Modifier None Typical Low $1.51 Median $2.34 Typical High $3.09 | Facility | None | $1.51 | $2.34 | $3.09 |
Medcost Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $3.72 | Professional | None | $2.34 | $2.34 | $3.72 |
Sentara Setting Facility Modifier None Typical Low $2.51 Median $4.27 Typical High $10.23 | Facility | None | $2.51 | $4.27 | $10.23 |
Sentara Setting Professional Modifier None Typical Low $2.51 Median $3.80 Typical High $8.91 | Professional | None | $2.51 | $3.80 | $8.91 |
United Setting Professional Modifier None Typical Low $1.95 Median $2.14 Typical High $3.63 | Professional | None | $1.95 | $2.14 | $3.63 |
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 $0.21 Median $0.21 Typical High $0.30 | Professional | RR · Rental | $0.21 | $0.21 | $0.30 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.58 Median $1.58 Typical High $2.29 | Professional | UE · Used equipment | $1.58 | $1.58 | $2.29 |
Where Virginia sits
The same service costs 2.6 times more in Hawaii than in California. 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· 36th 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.