How much rates vary
Facilitymedian $28 · 10th to 90th $3 to $63Professionalmedian $21 · 10th to 90th $4 to $35
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 $20.42 Median $22.91 Typical High $27.54 | Facility | None | $20.42 | $22.91 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $22.91 Typical High $27.54 | Professional | None | $20.42 | $22.91 | $27.54 |
Aetna Setting Professional Modifier RR · Rental Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | RR · Rental | $2.40 | $2.40 | $2.40 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $15.14 Median $16.98 Typical High $16.98 | Professional | UE · Used equipment | $15.14 | $16.98 | $16.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $42.66 | Facility | None | $40.74 | $40.74 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $20.42 | Professional | None | $19.50 | $19.50 | $20.42 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.95 Median $2.14 Typical High $10.96 | Professional | RR · Rental | $1.95 | $2.14 | $10.96 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $14.79 Median $14.79 Typical High $20.89 | Professional | UE · Used equipment | $14.79 | $14.79 | $20.89 |
CareFirst Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | RR · Rental | $34.67 | $34.67 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $29.51 | Facility | None | $25.12 | $25.12 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | RR · Rental | $2.14 | $2.14 | $2.14 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | UE · Used equipment | $16.22 | $16.22 | $16.22 |
Kaiser Permanente Setting Professional Modifier None Typical Low $32.36 Median $40.74 Typical High $51.29 | Professional | None | $32.36 | $40.74 | $51.29 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $3.31 Median $3.89 Typical High $4.79 | Professional | RR · Rental | $3.31 | $3.89 | $4.79 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $25.12 Median $28.84 Typical High $37.15 | Professional | UE · Used equipment | $25.12 | $28.84 | $37.15 |
Medcost Setting Professional Modifier None Typical Low $26.30 Median $33.11 Typical High $45.71 | Professional | None | $26.30 | $33.11 | $45.71 |
Medcost Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $30.90 | Facility | None | $21.88 | $21.88 | $30.90 |
Medcost Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $37.15 | Professional | None | $21.88 | $21.88 | $37.15 |
Sentara Setting Facility Modifier None Typical Low $2.88 Median $16.60 Typical High $69.18 | Facility | None | $2.88 | $16.60 | $69.18 |
Sentara Setting Professional Modifier None Typical Low $2.29 Median $19.50 Typical High $69.18 | Professional | None | $2.29 | $19.50 | $69.18 |
Sentara Setting Professional Modifier RR · Rental Typical Low $2.19 Median $3.09 Typical High $3.80 | Professional | RR · Rental | $2.19 | $3.09 | $3.80 |
United Setting Professional Modifier None Typical Low $17.78 Median $19.95 Typical High $33.11 | Professional | None | $17.78 | $19.95 | $33.11 |
United Setting Professional Modifier RR · Rental Typical Low $1.62 Median $2.14 Typical High $4.68 | Professional | RR · Rental | $1.62 | $2.14 | $4.68 |
United Setting Professional Modifier UE · Used equipment Typical Low $11.75 Median $15.49 Typical High $33.11 | Professional | UE · Used equipment | $11.75 | $15.49 | $33.11 |
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 $2.40 Median $2.40 Typical High $2.40 | Professional | MS · Maintenance fee | $2.40 | $2.40 | $2.40 |
Where Virginia sits
The same service costs 2.6 times more in Hawaii than in Rhode Island. 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· 37th of 51
$21.38
HI $42.66RI $16.22
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.