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 $223.87 Median $223.87 Typical High $245.47 | Facility | None | $223.87 | $223.87 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $245.47 | Professional | None | $223.87 | $223.87 | $245.47 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $165.96 Median $165.96 Typical High $186.21 | Professional | UE · Used equipment | $165.96 | $165.96 | $186.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | UE · Used equipment | $295.12 | $295.12 | $295.12 |
CareFirst Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $169.82 | Professional | None | $144.54 | $144.54 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $389.05 Typical High $389.05 | Professional | None | $354.81 | $389.05 | $389.05 |
Medcost Setting Facility Modifier None Typical Low $223.87 Median $245.47 Typical High $263.03 | Facility | None | $223.87 | $245.47 | $263.03 |
Sentara Setting Facility Modifier None Typical Low $25.70 Median $10,232.93 Typical High $11,481.54 | Facility | None | $25.70 | $10,232.93 | $11,481.54 |
Sentara Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
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 $30.20 Median $35.48 Typical High $35.48 | Professional | RR · Rental | $30.20 | $35.48 | $35.48 |
Where Virginia sits
The same service costs 13.5 times more in Mississippi than in Arizona. 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· 10th of 51
$355
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.