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 $478.63 Median $588.84 Typical High $588.84 | Facility | None | $478.63 | $588.84 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $588.84 Typical High $588.84 | Professional | None | $478.63 | $588.84 | $588.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,288.25 | Facility | None | $1,202.26 | $1,202.26 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $758.58 | Professional | None | $660.69 | $660.69 | $758.58 |
CareFirst Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $831.76 | Professional | None | $616.60 | $616.60 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $954.99 Typical High $954.99 | Facility | None | $524.81 | $954.99 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $954.99 | Professional | None | $691.83 | $691.83 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $1,202.26 Typical High $1,548.82 | Professional | None | $851.14 | $1,202.26 | $1,548.82 |
Medcost Setting Professional Modifier None Typical Low $602.56 Median $794.33 Typical High $1,096.48 | Professional | None | $602.56 | $794.33 | $1,096.48 |
Medcost Setting Facility Modifier None Typical Low $380.19 Median $645.65 Typical High $794.33 | Facility | None | $380.19 | $645.65 | $794.33 |
Medcost Setting Professional Modifier None Typical Low $645.65 Median $724.44 Typical High $1,513.56 | Professional | None | $645.65 | $724.44 | $1,513.56 |
Sentara Setting Facility Modifier None Typical Low $588.84 Median $851.14 Typical High $2,570.40 | Facility | None | $588.84 | $851.14 | $2,570.40 |
Sentara Setting Professional Modifier None Typical Low $588.84 Median $891.25 Typical High $1,819.70 | Professional | None | $588.84 | $891.25 | $1,819.70 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,778.28 | Facility | None | $1,479.11 | $1,479.11 | $1,778.28 |
United Setting Professional Modifier None Typical Low $537.03 Median $588.84 Typical High $891.25 | Professional | None | $537.03 | $588.84 | $891.25 |
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 $67.61 Median $67.61 Typical High $85.11 | Professional | RR · Rental | $67.61 | $67.61 | $85.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $501.19 Typical High $501.19 | Professional | UE · Used equipment | $489.78 | $501.19 | $501.19 |
Where Virginia sits
The same service costs 2.0 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· 42nd of 51
$676
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.