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 $426.58 Median $512.86 Typical High $512.86 | Facility | None | $426.58 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $512.86 Typical High $512.86 | Professional | None | $426.58 | $512.86 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,148.15 | Facility | None | $1,071.52 | $1,071.52 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $691.83 | Professional | None | $562.34 | $562.34 | $691.83 |
CareFirst Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $741.31 | Professional | None | $549.54 | $549.54 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $691.83 Typical High $691.83 | Facility | None | $467.74 | $691.83 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $691.83 | Professional | None | $512.86 | $512.86 | $691.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $741.31 Median $1,071.52 Typical High $1,380.38 | Professional | None | $741.31 | $1,071.52 | $1,380.38 |
Medcost Setting Professional Modifier None Typical Low $537.03 Median $707.95 Typical High $977.24 | Professional | None | $537.03 | $707.95 | $977.24 |
Medcost Setting Facility Modifier None Typical Low $338.84 Median $575.44 Typical High $691.83 | Facility | None | $338.84 | $575.44 | $691.83 |
Medcost Setting Professional Modifier None Typical Low $575.44 Median $645.65 Typical High $1,348.96 | Professional | None | $575.44 | $645.65 | $1,348.96 |
Sentara Setting Facility Modifier None Typical Low $524.81 Median $758.58 Typical High $2,290.87 | Facility | None | $524.81 | $758.58 | $2,290.87 |
Sentara Setting Professional Modifier None Typical Low $575.44 Median $794.33 Typical High $1,621.81 | Professional | None | $575.44 | $794.33 | $1,621.81 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,548.82 | Facility | None | $1,318.26 | $1,318.26 | $1,548.82 |
United Setting Professional Modifier None Typical Low $467.74 Median $524.81 Typical High $794.33 | Professional | None | $467.74 | $524.81 | $794.33 |
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 $56.23 Median $56.23 Typical High $75.86 | Professional | RR · Rental | $56.23 | $56.23 | $75.86 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | UE · Used equipment | $416.87 | $416.87 | $416.87 |
Where Virginia sits
The same service costs 2.2 times more in Hawaii than in Delaware. 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
$562
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.