How much rates vary
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 $64.57 Median $120.23 Typical High $208.93 | Facility | None | $64.57 | $120.23 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $77.62 Typical High $109.65 | Professional | None | $64.57 | $77.62 | $109.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $169.82 | Facility | None | $162.18 | $162.18 | $169.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $97.72 | Professional | None | $85.11 | $85.11 | $97.72 |
CareFirst Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $109.65 | Professional | None | $83.18 | $83.18 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $114.82 Typical High $141.25 | Facility | None | $85.11 | $114.82 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $114.82 | Professional | None | $85.11 | $85.11 | $114.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $162.18 Typical High $208.93 | Professional | None | $112.20 | $162.18 | $208.93 |
Medcost Setting Professional Modifier None Typical Low $95.50 Median $104.71 Typical High $147.91 | Professional | None | $95.50 | $104.71 | $147.91 |
Medcost Setting Facility Modifier None Typical Low $50.12 Median $87.10 Typical High $104.71 | Facility | None | $50.12 | $87.10 | $104.71 |
Medcost Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $199.53 | Professional | None | $74.13 | $97.72 | $199.53 |
Sentara Setting Facility Modifier None Typical Low $77.62 Median $109.65 Typical High $346.74 | Facility | None | $77.62 | $109.65 | $346.74 |
Sentara Setting Professional Modifier None Typical Low $87.10 Median $117.49 Typical High $239.88 | Professional | None | $87.10 | $117.49 | $239.88 |
United Setting Facility Modifier None Typical Low $72.44 Median $89.13 Typical High $194.98 | Facility | None | $72.44 | $89.13 | $194.98 |
United Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $117.49 | Professional | None | $70.79 | $79.43 | $117.49 |
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 $8.91 Median $8.91 Typical High $11.48 | Professional | RR · Rental | $8.91 | $8.91 | $11.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $64.57 Median $66.07 Typical High $69.18 | Professional | UE · Used equipment | $64.57 | $66.07 | $69.18 |
Where Virginia sits
The same service costs 2.4 times more in Hawaii than in Washington, DC. 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· 38th of 51
$85.11
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.