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 $549.54 Median $549.54 Typical High $891.25 | Facility | None | $549.54 | $549.54 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $776.25 Typical High $891.25 | Professional | None | $549.54 | $776.25 | $891.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $60.26 Median $70.79 Typical High $141.25 | Professional | RR · Rental | $60.26 | $70.79 | $141.25 |
CareFirst Setting Professional Modifier None Typical Low $85.11 Median $3,090.30 Typical High $3,090.30 | Professional | None | $85.11 | $3,090.30 | $3,090.30 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | RR · Rental | $85.11 | $85.11 | $85.11 |
Cigna Setting Facility Modifier RR · Rental Typical Low $67.61 Median $67.61 Typical High $95.50 | Facility | RR · Rental | $67.61 | $67.61 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
Cigna Setting Professional Modifier RR · Rental Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | RR · Rental | $57.54 | $57.54 | $57.54 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $81.28 Median $107.15 Typical High $229.09 | Professional | RR · Rental | $81.28 | $107.15 | $229.09 |
Medcost Setting Professional Modifier RR · Rental Typical Low $199.53 Median $199.53 Typical High $323.59 | Professional | RR · Rental | $199.53 | $199.53 | $323.59 |
Medcost Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $831.76 | Facility | None | $125.89 | $125.89 | $831.76 |
Medcost Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $218.78 | Professional | None | $125.89 | $125.89 | $218.78 |
Sentara Setting Facility Modifier None Typical Low $58.88 Median $162.18 Typical High $2,238.72 | Facility | None | $58.88 | $162.18 | $2,238.72 |
Sentara Setting Professional Modifier None Typical Low $66.07 Median $151.36 Typical High $1,737.80 | Professional | None | $66.07 | $151.36 | $1,737.80 |
Sentara Setting Professional Modifier RR · Rental Typical Low $58.88 Median $125.89 Typical High $229.09 | Professional | RR · Rental | $58.88 | $125.89 | $229.09 |
United Setting Professional Modifier None Typical Low $60.26 Median $81.28 Typical High $190.55 | Professional | None | $60.26 | $81.28 | $190.55 |
United Setting Professional Modifier RR · Rental Typical Low $63.10 Median $81.28 Typical High $199.53 | Professional | RR · Rental | $63.10 | $81.28 | $199.53 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier UE · Used equipment Typical Low $407.38 Median $501.19 Typical High $501.19 | Professional | UE · Used equipment | $407.38 | $501.19 | $501.19 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $524.81 Median $524.81 Typical High $562.34 | Professional | UE · Used equipment | $524.81 | $524.81 | $562.34 |
Where Virginia sits
The same service costs 22.4 times more in Alaska than in Oklahoma. 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· 18th of 51
$708
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.