How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,905.46 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,905.46 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,905.46 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,445.44 Median $1,513.56 Typical High $1,513.56 | Professional | UE · Used equipment | $1,445.44 | $1,513.56 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,265.80 | Professional | None | $4,168.69 | $4,168.69 | $4,265.80 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3,162.28 Median $3,235.94 Typical High $3,235.94 | Professional | UE · Used equipment | $3,162.28 | $3,235.94 | $3,235.94 |
CareFirst Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $6,025.60 | Professional | None | $5,495.41 | $5,495.41 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | None | $4,265.80 | $4,265.80 | $4,265.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15,848.93 Median $17,378.01 Typical High $17,378.01 | Professional | None | $15,848.93 | $17,378.01 | $17,378.01 |
Medcost Setting Facility Modifier None Typical Low $1,905.46 Median $1,995.26 Typical High $2,041.74 | Facility | None | $1,905.46 | $1,995.26 | $2,041.74 |
Sentara Setting Facility Modifier None Typical Low $7,413.10 Median $10,232.93 Typical High $11,481.54 | Facility | None | $7,413.10 | $10,232.93 | $11,481.54 |
Sentara Setting Professional Modifier None Typical Low $7,413.10 Median $10,232.93 Typical High $11,481.54 | Professional | None | $7,413.10 | $10,232.93 | $11,481.54 |
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 RR · Rental Typical Low $257.04 Median $426.58 Typical High $426.58 | Professional | RR · Rental | $257.04 | $426.58 | $426.58 |
Where Virginia sits
The same service costs 138.0 times more in Nebraska than in Montana. 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· 17th of 51
$4,169
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.