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 $33.11 Median $33.11 Typical High $36.31 | Facility | None | $33.11 | $33.11 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $36.31 | Professional | None | $33.11 | $33.11 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $58.88 | Facility | None | $54.95 | $54.95 | $58.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $38.90 | Professional | None | $34.67 | $34.67 | $38.90 |
CareFirst Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $38.02 | Professional | None | $30.20 | $30.20 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $36.31 | Professional | None | $26.30 | $26.30 | $36.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $54.95 Typical High $72.44 | Professional | None | $38.90 | $54.95 | $72.44 |
Medcost Setting Professional Modifier None Typical Low $26.92 Median $36.31 Typical High $50.12 | Professional | None | $26.92 | $36.31 | $50.12 |
Medcost Setting Facility Modifier None Typical Low $17.38 Median $29.51 Typical High $38.90 | Facility | None | $17.38 | $29.51 | $38.90 |
Medcost Setting Professional Modifier None Typical Low $29.51 Median $32.36 Typical High $38.02 | Professional | None | $29.51 | $32.36 | $38.02 |
Sentara Setting Facility Modifier None Typical Low $26.92 Median $38.90 Typical High $117.49 | Facility | None | $26.92 | $38.90 | $117.49 |
Sentara Setting Professional Modifier None Typical Low $35.48 Median $44.67 Typical High $83.18 | Professional | None | $35.48 | $44.67 | $83.18 |
United Setting Professional Modifier None Typical Low $24.55 Median $26.92 Typical High $41.69 | Professional | None | $24.55 | $26.92 | $41.69 |
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 $3.47 Median $3.47 Typical High $3.89 | Professional | RR · Rental | $3.47 | $3.47 | $3.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $26.30 Median $26.30 Typical High $28.18 | Professional | UE · Used equipment | $26.30 | $26.30 | $28.18 |
Where Virginia sits
The same service costs 2.2 times more in Idaho than in Utah. 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· 31st of 51
$34.67
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.