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 $125.89 Median $190.55 Typical High $416.87 | Facility | None | $125.89 | $190.55 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $151.36 Typical High $194.98 | Professional | None | $125.89 | $151.36 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $338.84 | Facility | None | $316.23 | $316.23 | $338.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $213.80 | Professional | None | $186.21 | $186.21 | $213.80 |
CareFirst Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $218.78 | Professional | None | $165.96 | $165.96 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $245.47 | Facility | None | $218.78 | $218.78 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $218.78 | Professional | None | $158.49 | $158.49 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $316.23 Typical High $407.38 | Professional | None | $218.78 | $316.23 | $407.38 |
Medcost Setting Professional Modifier None Typical Low $186.21 Median $208.93 Typical High $288.40 | Professional | None | $186.21 | $208.93 | $288.40 |
Medcost Setting Facility Modifier None Typical Low $109.65 Median $169.82 Typical High $204.17 | Facility | None | $109.65 | $169.82 | $204.17 |
Medcost Setting Professional Modifier None Typical Low $138.04 Median $173.78 Typical High $398.11 | Professional | None | $138.04 | $173.78 | $398.11 |
Sentara Setting Facility Modifier None Typical Low $154.88 Median $218.78 Typical High $676.08 | Facility | None | $154.88 | $218.78 | $676.08 |
Sentara Setting Professional Modifier None Typical Low $169.82 Median $234.42 Typical High $478.63 | Professional | None | $169.82 | $234.42 | $478.63 |
United Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $416.87 | Facility | None | $204.17 | $204.17 | $416.87 |
United Setting Professional Modifier None Typical Low $138.04 Median $154.88 Typical High $234.42 | Professional | None | $138.04 | $154.88 | $234.42 |
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 $19.05 Median $19.05 Typical High $24.55 | Professional | RR · Rental | $19.05 | $19.05 | $24.55 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $141.25 Median $144.54 Typical High $144.54 | Professional | UE · Used equipment | $141.25 | $144.54 | $144.54 |
Where Virginia sits
The same service costs 3.4 times more in Hawaii than in Alabama. 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· 36th of 51
$186
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.