How much rates vary
Facilitymedian $44 · 10th to 90th $4 to $72Professionalmedian $50 · 10th to 90th $6 to $54
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 $34.67 Median $39.81 Typical High $39.81 | Facility | None | $34.67 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $39.81 Typical High $39.81 | Professional | None | $22.39 | $39.81 | $39.81 |
Aetna Setting Professional Modifier RR · Rental Typical Low $2.24 Median $3.98 Typical High $3.98 | Professional | RR · Rental | $2.24 | $3.98 | $3.98 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $16.60 Median $30.20 Typical High $30.20 | Professional | UE · Used equipment | $16.60 | $30.20 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $72.44 | Facility | None | $69.18 | $69.18 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.68 Median $5.01 Typical High $5.62 | Professional | RR · Rental | $4.68 | $5.01 | $5.62 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $34.67 Median $38.02 Typical High $40.74 | Professional | UE · Used equipment | $34.67 | $38.02 | $40.74 |
CareFirst Setting Professional Modifier None Typical Low $40.74 Median $46.77 Typical High $46.77 | Professional | None | $40.74 | $46.77 | $46.77 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $4.47 Median $4.68 Typical High $4.68 | Professional | RR · Rental | $4.47 | $4.68 | $4.68 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $44.67 | Professional | None | $38.02 | $38.02 | $44.67 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.95 Median $2.95 Typical High $5.89 | Professional | RR · Rental | $2.95 | $2.95 | $5.89 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | UE · Used equipment | $21.38 | $21.38 | $21.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $47.86 Median $51.29 Typical High $75.86 | Professional | None | $47.86 | $51.29 | $75.86 |
Medcost Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $51.29 | Professional | None | $39.81 | $39.81 | $51.29 |
Medcost Setting Facility Modifier None Typical Low $36.31 Median $43.65 Typical High $52.48 | Facility | None | $36.31 | $43.65 | $52.48 |
Medcost Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $56.23 | Professional | None | $51.29 | $51.29 | $56.23 |
Sentara Setting Facility Modifier None Typical Low $4.27 Median $27.54 Typical High $79.43 | Facility | None | $4.27 | $27.54 | $79.43 |
Sentara Setting Professional Modifier None Typical Low $4.27 Median $27.54 Typical High $56.23 | Professional | None | $4.27 | $27.54 | $56.23 |
Sentara Setting Professional Modifier RR · Rental Typical Low $3.72 Median $5.50 Typical High $6.92 | Professional | RR · Rental | $3.72 | $5.50 | $6.92 |
United Setting Professional Modifier None Typical Low $28.84 Median $33.11 Typical High $47.86 | Professional | None | $28.84 | $33.11 | $47.86 |
United Setting Professional Modifier RR · Rental Typical Low $2.95 Median $3.31 Typical High $4.79 | Professional | RR · Rental | $2.95 | $3.31 | $4.79 |
United Setting Professional Modifier UE · Used equipment Typical Low $21.88 Median $25.12 Typical High $36.31 | Professional | UE · Used equipment | $21.88 | $25.12 | $36.31 |
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 $3.98 Median $3.98 Typical High $3.98 | Professional | MS · Maintenance fee | $3.98 | $3.98 | $3.98 |
Where Virginia sits
The same service costs 3.8 times more in Hawaii 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· 29th of 51
$47.86
HI $123IL $32.36
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.