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 $54.95 Median $54.95 Typical High $60.26 | Facility | None | $54.95 | $54.95 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $54.95 Typical High $97.72 | Professional | None | $45.71 | $54.95 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $95.50 | Facility | None | $91.20 | $91.20 | $95.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $63.10 | Professional | None | $57.54 | $57.54 | $63.10 |
CareFirst Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $61.66 | Professional | None | $50.12 | $50.12 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $58.88 | Professional | None | $43.65 | $43.65 | $58.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $117.49 | Professional | None | $63.10 | $91.20 | $117.49 |
Medcost Setting Professional Modifier None Typical Low $44.67 Median $58.88 Typical High $58.88 | Professional | None | $44.67 | $58.88 | $58.88 |
Medcost Setting Facility Modifier None Typical Low $28.18 Median $48.98 Typical High $63.10 | Facility | None | $28.18 | $48.98 | $63.10 |
Medcost Setting Professional Modifier None Typical Low $48.98 Median $53.70 Typical High $58.88 | Professional | None | $48.98 | $53.70 | $58.88 |
Sentara Setting Facility Modifier None Typical Low $43.65 Median $70.79 Typical High $194.98 | Facility | None | $43.65 | $70.79 | $194.98 |
Sentara Setting Professional Modifier None Typical Low $58.88 Median $72.44 Typical High $138.04 | Professional | None | $58.88 | $72.44 | $138.04 |
United Setting Professional Modifier None Typical Low $39.81 Median $44.67 Typical High $67.61 | Professional | None | $39.81 | $44.67 | $67.61 |
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 $5.75 Median $5.75 Typical High $6.31 | Professional | RR · Rental | $5.75 | $5.75 | $6.31 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $43.65 Median $43.65 Typical High $46.77 | Professional | UE · Used equipment | $43.65 | $43.65 | $46.77 |
Where Virginia sits
The same service costs 2.2 times more in Idaho than in Colorado. 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· 27th of 51
$57.54
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.