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 $245.47 Median $295.12 Typical High $295.12 | Facility | None | $245.47 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $295.12 Typical High $295.12 | Professional | None | $245.47 | $295.12 | $295.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $645.65 | Facility | None | $602.56 | $602.56 | $645.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $398.11 | Professional | None | $323.59 | $323.59 | $398.11 |
CareFirst Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $416.87 | Professional | None | $331.13 | $331.13 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $380.19 Typical High $380.19 | Facility | None | $257.04 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $380.19 | Professional | None | $275.42 | $275.42 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $426.58 Median $602.56 Typical High $794.33 | Professional | None | $426.58 | $602.56 | $794.33 |
Medcost Setting Professional Modifier None Typical Low $302.00 Median $398.11 Typical High $549.54 | Professional | None | $302.00 | $398.11 | $549.54 |
Medcost Setting Facility Modifier None Typical Low $190.55 Median $323.59 Typical High $398.11 | Facility | None | $190.55 | $323.59 | $398.11 |
Medcost Setting Professional Modifier None Typical Low $323.59 Median $363.08 Typical High $758.58 | Professional | None | $323.59 | $363.08 | $758.58 |
Sentara Setting Facility Modifier None Typical Low $295.12 Median $426.58 Typical High $1,288.25 | Facility | None | $295.12 | $426.58 | $1,288.25 |
Sentara Setting Professional Modifier None Typical Low $323.59 Median $446.68 Typical High $912.01 | Professional | None | $323.59 | $446.68 | $912.01 |
United Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $870.96 | Facility | None | $724.44 | $724.44 | $870.96 |
United Setting Professional Modifier None Typical Low $269.15 Median $295.12 Typical High $446.68 | Professional | None | $269.15 | $295.12 | $446.68 |
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 $32.36 Median $32.36 Typical High $42.66 | Professional | RR · Rental | $32.36 | $32.36 | $42.66 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $245.47 Median $245.47 Typical High $263.03 | Professional | UE · Used equipment | $245.47 | $245.47 | $263.03 |
Where Virginia sits
The same service costs 2.4 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· 37th of 51
$324
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.