How much rates vary
Facilitymedian $41 · 10th to 90th $4 to $68Professionalmedian $48 · 10th to 90th $5 to $50
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 $31.62 Median $37.15 Typical High $37.15 | Facility | None | $31.62 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $37.15 Typical High $37.15 | Professional | None | $31.62 | $37.15 | $37.15 |
Aetna Setting Professional Modifier RR · Rental Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | RR · Rental | $3.72 | $3.72 | $3.72 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $23.99 Median $27.54 Typical High $27.54 | Professional | UE · Used equipment | $23.99 | $27.54 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $67.61 | Facility | None | $63.10 | $63.10 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.47 Median $4.79 Typical High $5.37 | Professional | RR · Rental | $4.47 | $4.79 | $5.37 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $33.11 Median $35.48 Typical High $35.48 | Professional | UE · Used equipment | $33.11 | $35.48 | $35.48 |
CareFirst Setting Professional Modifier None Typical Low $4.17 Median $38.02 Typical High $43.65 | Professional | None | $4.17 | $38.02 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $40.74 | Professional | None | $34.67 | $34.67 | $40.74 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | RR · Rental | $2.69 | $2.69 | $2.69 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | UE · Used equipment | $20.42 | $20.42 | $20.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $70.79 | Professional | None | $44.67 | $47.86 | $70.79 |
Medcost Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $48.98 | Professional | None | $38.02 | $38.02 | $48.98 |
Medcost Setting Facility Modifier None Typical Low $33.88 Median $41.69 Typical High $50.12 | Facility | None | $33.88 | $41.69 | $50.12 |
Medcost Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $53.70 | Professional | None | $47.86 | $47.86 | $53.70 |
Sentara Setting Facility Modifier None Typical Low $3.98 Median $25.70 Typical High $74.13 | Facility | None | $3.98 | $25.70 | $74.13 |
Sentara Setting Professional Modifier None Typical Low $3.98 Median $25.70 Typical High $53.70 | Professional | None | $3.98 | $25.70 | $53.70 |
Sentara Setting Professional Modifier RR · Rental Typical Low $3.47 Median $5.13 Typical High $6.31 | Professional | RR · Rental | $3.47 | $5.13 | $6.31 |
United Setting Professional Modifier None Typical Low $28.84 Median $30.90 Typical High $44.67 | Professional | None | $28.84 | $30.90 | $44.67 |
United Setting Professional Modifier RR · Rental Typical Low $2.95 Median $3.16 Typical High $4.47 | Professional | RR · Rental | $2.95 | $3.16 | $4.47 |
United Setting Professional Modifier UE · Used equipment Typical Low $21.88 Median $23.44 Typical High $33.88 | Professional | UE · Used equipment | $21.88 | $23.44 | $33.88 |
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 $3.72 Median $3.72 Typical High $3.72 | Professional | MS · Maintenance fee | $3.72 | $3.72 | $3.72 |
Where Virginia sits
The same service costs 2.3 times more in Kansas than in Illinois. 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· 30th of 51
$44.67
KS $70.79IL $30.90
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.