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 $2.45 Median $2.45 Typical High $2.69 | Facility | None | $2.45 | $2.45 | $2.69 |
Aetna Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $2.69 | Professional | None | $2.45 | $2.45 | $2.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $5.62 | Professional | None | $5.25 | $5.25 | $5.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.52 Median $0.52 Typical High $0.56 | Professional | RR · Rental | $0.52 | $0.52 | $0.56 |
CareFirst Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.82 | Professional | None | $2.24 | $2.24 | $2.82 |
Cigna Setting Facility Modifier None Typical Low $2.40 Median $2.40 Typical High $2.40 | Facility | None | $2.40 | $2.40 | $2.40 |
Cigna Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.40 | Professional | None | $2.04 | $2.04 | $2.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.88 Median $4.07 Typical High $5.37 | Professional | None | $2.88 | $4.07 | $5.37 |
Medcost Setting Professional Modifier None Typical Low $2.57 Median $2.88 Typical High $3.98 | Professional | None | $2.57 | $2.88 | $3.98 |
Medcost Setting Facility Modifier None Typical Low $1.20 Median $2.19 Typical High $2.88 | Facility | None | $1.20 | $2.19 | $2.88 |
Medcost Setting Professional Modifier None Typical Low $2.19 Median $2.45 Typical High $3.02 | Professional | None | $2.19 | $2.45 | $3.02 |
Sentara Setting Facility Modifier None Typical Low $2.04 Median $3.02 Typical High $8.71 | Facility | None | $2.04 | $3.02 | $8.71 |
Sentara Setting Professional Modifier None Typical Low $2.63 Median $3.16 Typical High $6.17 | Professional | None | $2.63 | $3.16 | $6.17 |
United Setting Professional Modifier None Typical Low $1.82 Median $2.00 Typical High $3.02 | Professional | None | $1.82 | $2.00 | $3.02 |
1 more rate 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 UE · Used equipment Typical Low $3.31 Median $3.98 Typical High $3.98 | Professional | UE · Used equipment | $3.31 | $3.98 | $3.98 |
Where Virginia sits
The same service costs 2.1 times more in Hawaii 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· 24th of 51
$3.02
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.