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 $134.90 Median $165.96 Typical High $165.96 | Facility | None | $134.90 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $165.96 Typical High $165.96 | Professional | None | $134.90 | $165.96 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $363.08 | Facility | None | $338.84 | $338.84 | $363.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $229.09 | Professional | None | $186.21 | $186.21 | $229.09 |
CareFirst Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $229.09 Typical High $229.09 | Facility | None | $147.91 | $229.09 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $229.09 | Professional | None | $165.96 | $165.96 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $338.84 Typical High $436.52 | Professional | None | $239.88 | $338.84 | $436.52 |
Medcost Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $331.13 | Professional | None | $223.87 | $223.87 | $331.13 |
Medcost Setting Facility Modifier None Typical Low $107.15 Median $181.97 Typical High $223.87 | Facility | None | $107.15 | $181.97 | $223.87 |
Medcost Setting Professional Modifier None Typical Low $181.97 Median $204.17 Typical High $426.58 | Professional | None | $181.97 | $204.17 | $426.58 |
Sentara Setting Facility Modifier None Typical Low $165.96 Median $269.15 Typical High $1,071.52 | Facility | None | $165.96 | $269.15 | $1,071.52 |
Sentara Setting Professional Modifier None Typical Low $181.97 Median $275.42 Typical High $1,000.00 | Professional | None | $181.97 | $275.42 | $1,000.00 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $501.19 | Facility | None | $416.87 | $416.87 | $501.19 |
United Setting Professional Modifier None Typical Low $151.36 Median $165.96 Typical High $251.19 | Professional | None | $151.36 | $165.96 | $251.19 |
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 $18.62 Median $18.62 Typical High $23.99 | Professional | RR · Rental | $18.62 | $18.62 | $23.99 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $138.04 Median $138.04 Typical High $151.36 | Professional | UE · Used equipment | $138.04 | $138.04 | $151.36 |
Where Virginia sits
The same service costs 4.8 times more in Kansas than in New Jersey. 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· 34th 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.