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 $478.63 Median $1,096.48 Typical High $1,096.48 | Facility | None | $478.63 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $1,096.48 Typical High $1,096.48 | Professional | None | $478.63 | $1,096.48 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,348.96 | Professional | None | $1,258.93 | $1,258.93 | $1,348.96 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $120.23 Median $125.89 Typical High $125.89 | Professional | RR · Rental | $120.23 | $125.89 | $125.89 |
CareFirst Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | RR · Rental | $128.82 | $128.82 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | None | $85.11 | $85.11 | $100.00 |
Cigna Setting Professional Modifier RR · Rental Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | RR · Rental | $74.13 | $74.13 | $74.13 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $125.89 Median $181.97 Typical High $234.42 | Professional | RR · Rental | $125.89 | $181.97 | $234.42 |
Medcost Setting Professional Modifier RR · Rental Typical Low $114.82 Median $125.89 Typical High $177.83 | Professional | RR · Rental | $114.82 | $125.89 | $177.83 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $1,096.48 | Facility | None | $97.72 | $97.72 | $1,096.48 |
Medcost Setting Professional Modifier None Typical Low $97.72 Median $100.00 Typical High $977.24 | Professional | None | $97.72 | $100.00 | $977.24 |
Sentara Setting Facility Modifier None Typical Low $117.49 Median $645.65 Typical High $2,238.72 | Facility | None | $117.49 | $645.65 | $2,238.72 |
Sentara Setting Professional Modifier None Typical Low $117.49 Median $338.84 Typical High $1,819.70 | Professional | None | $117.49 | $338.84 | $1,819.70 |
Sentara Setting Professional Modifier RR · Rental Typical Low $102.33 Median $131.83 Typical High $213.80 | Professional | RR · Rental | $102.33 | $131.83 | $213.80 |
United Setting Professional Modifier None Typical Low $79.43 Median $87.10 Typical High $199.53 | Professional | None | $79.43 | $87.10 | $199.53 |
United Setting Professional Modifier RR · Rental Typical Low $70.79 Median $87.10 Typical High $147.91 | Professional | RR · Rental | $70.79 | $87.10 | $147.91 |
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 $676.08 Median $812.83 Typical High $812.83 | Professional | UE · Used equipment | $676.08 | $812.83 | $812.83 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $891.25 Median $933.25 Typical High $933.25 | Professional | UE · Used equipment | $891.25 | $933.25 | $933.25 |
Where Virginia sits
The same service costs 22.9 times more in North Dakota than in Delaware. 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· 12th of 51
$1,096
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.