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 $234.42 Median $263.03 Typical High $263.03 | Facility | None | $234.42 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $263.03 Typical High $263.03 | Professional | None | $234.42 | $263.03 | $263.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $21.38 Median $30.20 Typical High $36.31 | Professional | RR · Rental | $21.38 | $30.20 | $36.31 |
CareFirst Setting Professional Modifier None Typical Low $28.84 Median $1,047.13 Typical High $1,047.13 | Professional | None | $28.84 | $1,047.13 | $1,047.13 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | RR · Rental | $28.84 | $28.84 | $28.84 |
Cigna Setting Facility Modifier RR · Rental Typical Low $34.67 Median $34.67 Typical High $42.66 | Facility | RR · Rental | $34.67 | $34.67 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | RR · Rental | $29.51 | $29.51 | $29.51 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $41.69 Median $51.29 Typical High $74.13 | Professional | RR · Rental | $41.69 | $51.29 | $74.13 |
Medcost Setting Professional Modifier RR · Rental Typical Low $30.90 Median $30.90 Typical High $43.65 | Professional | RR · Rental | $30.90 | $30.90 | $43.65 |
Medcost Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $263.03 | Facility | None | $36.31 | $36.31 | $263.03 |
Medcost Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Sentara Setting Facility Modifier None Typical Low $28.18 Median $39.81 Typical High $489.78 | Facility | None | $28.18 | $39.81 | $489.78 |
Sentara Setting Professional Modifier None Typical Low $27.54 Median $36.31 Typical High $346.74 | Professional | None | $27.54 | $36.31 | $346.74 |
Sentara Setting Professional Modifier RR · Rental Typical Low $25.12 Median $33.11 Typical High $51.29 | Professional | RR · Rental | $25.12 | $33.11 | $51.29 |
United Setting Professional Modifier None Typical Low $23.44 Median $26.92 Typical High $41.69 | Professional | None | $23.44 | $26.92 | $41.69 |
United Setting Professional Modifier RR · Rental Typical Low $23.44 Median $25.70 Typical High $39.81 | Professional | RR · Rental | $23.44 | $25.70 | $39.81 |
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 $190.55 Median $194.98 Typical High $194.98 | Professional | UE · Used equipment | $190.55 | $194.98 | $194.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $257.04 Median $281.84 Typical High $281.84 | Professional | UE · Used equipment | $257.04 | $281.84 | $281.84 |
Where Virginia sits
The same service costs 36.3 times more in Vermont than in Hawaii. 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
$302
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.