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 $229.09 Median $275.42 Typical High $275.42 | Facility | None | $229.09 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $275.42 Typical High $275.42 | Professional | None | $229.09 | $275.42 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $616.60 | Facility | None | $575.44 | $575.44 | $616.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $371.54 | Professional | None | $302.00 | $302.00 | $371.54 |
CareFirst Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $398.11 | Professional | None | $316.23 | $316.23 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $346.74 Typical High $346.74 | Facility | None | $245.47 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $346.74 | Professional | None | $251.19 | $251.19 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $398.11 Median $575.44 Typical High $741.31 | Professional | None | $398.11 | $575.44 | $741.31 |
Medcost Setting Professional Modifier None Typical Low $338.84 Median $380.19 Typical High $524.81 | Professional | None | $338.84 | $380.19 | $524.81 |
Medcost Setting Facility Modifier None Typical Low $181.97 Median $309.03 Typical High $371.54 | Facility | None | $181.97 | $309.03 | $371.54 |
Medcost Setting Professional Modifier None Typical Low $309.03 Median $316.23 Typical High $724.44 | Professional | None | $309.03 | $316.23 | $724.44 |
Sentara Setting Facility Modifier None Typical Low $281.84 Median $407.38 Typical High $1,230.27 | Facility | None | $281.84 | $407.38 | $1,230.27 |
Sentara Setting Professional Modifier None Typical Low $309.03 Median $426.58 Typical High $870.96 | Professional | None | $309.03 | $426.58 | $870.96 |
United Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $851.14 | Facility | None | $707.95 | $707.95 | $851.14 |
United Setting Professional Modifier None Typical Low $251.19 Median $281.84 Typical High $426.58 | Professional | None | $251.19 | $281.84 | $426.58 |
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 $30.20 Median $30.20 Typical High $41.69 | Professional | RR · Rental | $30.20 | $30.20 | $41.69 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | UE · Used equipment | $229.09 | $229.09 | $229.09 |
Where Virginia sits
The same service costs 3.0 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· 36th of 51
$302
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.