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 $295.12 Median $354.81 Typical High $354.81 | Facility | None | $295.12 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $354.81 Typical High $363.08 | Professional | None | $295.12 | $354.81 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $776.25 | Facility | None | $724.44 | $724.44 | $776.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $537.03 | Professional | None | $436.52 | $436.52 | $537.03 |
CareFirst Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $501.19 | Professional | None | $398.11 | $398.11 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $512.86 Typical High $512.86 | Facility | None | $338.84 | $512.86 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $512.86 | Professional | None | $371.54 | $371.54 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $724.44 Typical High $954.99 | Professional | None | $512.86 | $724.44 | $954.99 |
Medcost Setting Professional Modifier None Typical Low $436.52 Median $478.63 Typical High $676.08 | Professional | None | $436.52 | $478.63 | $676.08 |
Medcost Setting Facility Modifier None Typical Low $257.04 Median $389.05 Typical High $478.63 | Facility | None | $257.04 | $389.05 | $478.63 |
Medcost Setting Professional Modifier None Typical Low $389.05 Median $478.63 Typical High $912.01 | Professional | None | $389.05 | $478.63 | $912.01 |
Sentara Setting Facility Modifier None Typical Low $354.81 Median $512.86 Typical High $1,584.89 | Facility | None | $354.81 | $512.86 | $1,584.89 |
Sentara Setting Professional Modifier None Typical Low $389.05 Median $537.03 Typical High $1,096.48 | Professional | None | $389.05 | $537.03 | $1,096.48 |
United Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $1,174.90 | Facility | None | $977.24 | $977.24 | $1,174.90 |
United Setting Professional Modifier None Typical Low $323.59 Median $354.81 Typical High $537.03 | Professional | None | $323.59 | $354.81 | $537.03 |
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 $43.65 Median $43.65 Typical High $56.23 | Professional | RR · Rental | $43.65 | $43.65 | $56.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $331.13 Median $331.13 Typical High $354.81 | Professional | UE · Used equipment | $331.13 | $331.13 | $354.81 |
Where Virginia sits
The same service costs 3.8 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
$437
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.