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 $91.20 Median $91.20 Typical High $100.00 | Facility | None | $91.20 | $91.20 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $100.00 | Professional | None | $91.20 | $91.20 | $100.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $107.15 Typical High $154.88 | Professional | None | $79.43 | $107.15 | $154.88 |
CareFirst Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $102.33 | Professional | None | $81.28 | $81.28 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $89.13 | Professional | None | $74.13 | $74.13 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $151.36 Typical High $194.98 | Professional | None | $104.71 | $151.36 | $194.98 |
Medcost Setting Professional Modifier None Typical Low $95.50 Median $104.71 Typical High $147.91 | Professional | None | $95.50 | $104.71 | $147.91 |
Medcost Setting Facility Modifier None Typical Low $44.67 Median $81.28 Typical High $104.71 | Facility | None | $44.67 | $81.28 | $104.71 |
Medcost Setting Professional Modifier None Typical Low $81.28 Median $91.20 Typical High $97.72 | Professional | None | $81.28 | $91.20 | $97.72 |
Sentara Setting Facility Modifier None Typical Low $74.13 Median $109.65 Typical High $323.59 | Facility | None | $74.13 | $109.65 | $323.59 |
Sentara Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $229.09 | Professional | None | $97.72 | $114.82 | $229.09 |
United Setting Professional Modifier None Typical Low $66.07 Median $72.44 Typical High $109.65 | Professional | None | $66.07 | $72.44 | $109.65 |
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 $9.33 Median $9.33 Typical High $10.47 | Professional | RR · Rental | $9.33 | $9.33 | $10.47 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $70.79 Median $70.79 Typical High $75.86 | Professional | UE · Used equipment | $70.79 | $70.79 | $75.86 |
Where Virginia sits
The same service costs 2.1 times more in Idaho than in Delaware. 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· 32nd of 51
$91.20
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.