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 $5,128.61 Median $5,128.61 Typical High $5,128.61 | Facility | None | $5,128.61 | $5,128.61 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Professional | None | $5,128.61 | $5,128.61 | $5,128.61 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | UE · Used equipment | $4,073.80 | $4,073.80 | $4,073.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Professional | None | $5,248.07 | $5,248.07 | $5,248.07 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | UE · Used equipment | $3,981.07 | $3,981.07 | $3,981.07 |
CareFirst Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
Medcost Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $7,762.47 | Facility | None | $5,128.61 | $5,128.61 | $7,762.47 |
Sentara Setting Facility Modifier None Typical Low $549.54 Median $10,232.93 Typical High $11,481.54 | Facility | None | $549.54 | $10,232.93 | $11,481.54 |
Sentara Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $446.68 Median $524.81 Typical High $524.81 | Professional | RR · Rental | $446.68 | $524.81 | $524.81 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | RR · Rental | $501.19 | $501.19 | $501.19 |
Where Virginia sits
The same service costs 234422.9 times more in South Dakota than in Louisiana. 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 50
$5,248
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.