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 $7,943.28 Median $7,943.28 Typical High $13,489.63 | Facility | None | $7,943.28 | $7,943.28 | $13,489.63 |
Aetna Setting Professional Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $13,489.63 | Professional | None | $7,943.28 | $7,943.28 | $13,489.63 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $6,025.60 Median $6,025.60 Typical High $10,232.93 | Professional | UE · Used equipment | $6,025.60 | $6,025.60 | $10,232.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $6,606.93 | Professional | None | $6,606.93 | $6,606.93 | $6,606.93 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | UE · Used equipment | $5,011.87 | $5,011.87 | $5,011.87 |
CareFirst Setting Professional Modifier None Typical Low $1,513.56 Median $15,135.61 Typical High $15,135.61 | Professional | None | $1,513.56 | $15,135.61 | $15,135.61 |
Cigna Setting Facility Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $11,748.98 | Facility | None | $11,748.98 | $11,748.98 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $9,772.37 Median $9,772.37 Typical High $11,748.98 | Professional | None | $9,772.37 | $9,772.37 | $11,748.98 |
Medcost Setting Facility Modifier None Typical Low $7,943.28 Median $12,022.64 Typical High $13,489.63 | Facility | None | $7,943.28 | $12,022.64 | $13,489.63 |
Sentara Setting Facility Modifier None Typical Low $7,413.10 Median $10,232.93 Typical High $11,481.54 | Facility | None | $7,413.10 | $10,232.93 | $11,481.54 |
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 $562.34 Median $660.69 Typical High $724.44 | Professional | RR · Rental | $562.34 | $660.69 | $724.44 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | RR · Rental | $1,513.56 | $1,513.56 | $1,513.56 |
Where Virginia sits
The same service costs 182.0 times more in South Dakota 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· 40th of 51
$6,607
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.