How much rates vary
Facilitymedian $14 · 10th to 90th $1 to $28Professionalmedian $7 · 10th to 90th $2 to $10
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 $7.24 Median $7.24 Typical High $8.71 | Facility | None | $7.24 | $7.24 | $8.71 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $8.71 Typical High $8.71 | Professional | None | $7.24 | $8.71 | $8.71 |
Aetna Setting Professional Modifier RR · Rental Typical Low $0.89 Median $0.89 Typical High $0.89 | Professional | RR · Rental | $0.89 | $0.89 | $0.89 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $6.46 Typical High $6.46 | Professional | UE · Used equipment | $5.37 | $6.46 | $6.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | None | $7.24 | $7.24 | $7.24 |
CareFirst Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | RR · Rental | $0.79 | $0.79 | $0.79 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | RR · Rental | $0.60 | $0.60 | $0.60 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | UE · Used equipment | $5.37 | $5.37 | $5.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.02 Median $15.49 Typical High $22.91 | Professional | None | $12.02 | $15.49 | $22.91 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $1.26 Median $1.62 Typical High $2.34 | Professional | RR · Rental | $1.26 | $1.62 | $2.34 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $9.12 Median $11.75 Typical High $16.98 | Professional | UE · Used equipment | $9.12 | $11.75 | $16.98 |
Medcost Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $13.80 | Professional | None | $10.00 | $10.00 | $13.80 |
Medcost Setting Professional Modifier RR · Rental Typical Low $1.02 Median $1.02 Typical High $1.41 | Professional | RR · Rental | $1.02 | $1.02 | $1.41 |
Medcost Setting Professional Modifier UE · Used equipment Typical Low $7.41 Median $7.41 Typical High $10.47 | Professional | UE · Used equipment | $7.41 | $7.41 | $10.47 |
Medcost Setting Facility Modifier None Typical Low $8.71 Median $15.49 Typical High $20.89 | Facility | None | $8.71 | $15.49 | $20.89 |
Medcost Setting Professional Modifier None Typical Low $0.79 Median $7.59 Typical High $9.12 | Professional | None | $0.79 | $7.59 | $9.12 |
Sentara Setting Facility Modifier None Typical Low $1.02 Median $9.33 Typical High $2,454.71 | Facility | None | $1.02 | $9.33 | $2,454.71 |
Sentara Setting Professional Modifier None Typical Low $0.83 Median $6.92 Typical High $14.13 | Professional | None | $0.83 | $6.92 | $14.13 |
Sentara Setting Professional Modifier RR · Rental Typical Low $0.78 Median $1.02 Typical High $1.45 | Professional | RR · Rental | $0.78 | $1.02 | $1.45 |
United Setting Professional Modifier None Typical Low $5.89 Median $6.92 Typical High $10.47 | Professional | None | $5.89 | $6.92 | $10.47 |
United Setting Professional Modifier RR · Rental Typical Low $0.62 Median $0.72 Typical High $1.07 | Professional | RR · Rental | $0.62 | $0.72 | $1.07 |
United Setting Professional Modifier UE · Used equipment Typical Low $4.47 Median $5.25 Typical High $7.76 | Professional | UE · Used equipment | $4.47 | $5.25 | $7.76 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $0.89 Median $0.89 Typical High $0.89 | Professional | MS · Maintenance fee | $0.89 | $0.89 | $0.89 |
Where Virginia sits
The same service costs 11.2 times more in Minnesota than in Illinois. 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· 20th of 51
$7.24
MN $15.14IL $1.35
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.