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 $5,248.07 Median $5,248.07 Typical High $7,943.28 | Facility | None | $5,248.07 | $5,248.07 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $7,943.28 | Professional | None | $5,248.07 | $5,248.07 | $7,943.28 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $4,168.69 Median $4,168.69 Typical High $5,888.44 | Professional | UE · Used equipment | $4,168.69 | $4,168.69 | $5,888.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $9,549.93 Median $9,549.93 Typical High $9,549.93 | Professional | None | $9,549.93 | $9,549.93 | $9,549.93 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Professional | UE · Used equipment | $7,079.46 | $7,079.46 | $7,079.46 |
CareFirst Setting Professional Modifier None Typical Low $11,481.54 Median $11,481.54 Typical High $11,481.54 | Professional | None | $11,481.54 | $11,481.54 | $11,481.54 |
Cigna Setting Facility Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Facility | None | $7,079.46 | $7,079.46 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $7,079.46 | Professional | None | $6,025.60 | $6,025.60 | $7,079.46 |
Medcost Setting Facility Modifier None Typical Low $5,248.07 Median $7,943.28 Typical High $7,943.28 | Facility | None | $5,248.07 | $7,943.28 | $7,943.28 |
Sentara Setting Facility Modifier None Typical Low $776.25 Median $10,232.93 Typical High $11,481.54 | Facility | None | $776.25 | $10,232.93 | $11,481.54 |
Sentara Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
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 $812.83 Median $954.99 Typical High $1,023.29 | Professional | RR · Rental | $812.83 | $954.99 | $1,023.29 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | RR · Rental | $1,148.15 | $1,148.15 | $1,148.15 |
Where Virginia sits
The same service costs 144.5 times more in Maryland than in Montana. 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· 8th of 51
$9,550
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.