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 $30.90 Median $51.29 Typical High $51.29 | Facility | None | $30.90 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $51.29 Typical High $66.07 | Professional | None | $30.90 | $51.29 | $66.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $81.28 | Facility | None | $75.86 | $75.86 | $81.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $67.61 | Professional | None | $63.10 | $63.10 | $67.61 |
CareFirst Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $67.61 Typical High $77.62 | Facility | None | $44.67 | $67.61 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $67.61 | Professional | None | $48.98 | $48.98 | $67.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $67.61 Typical High $114.82 | Professional | None | $46.77 | $67.61 | $114.82 |
Medcost Setting Professional Modifier None Typical Low $56.23 Median $69.18 Typical High $97.72 | Professional | None | $56.23 | $69.18 | $97.72 |
Medcost Setting Facility Modifier None Typical Low $34.67 Median $57.54 Typical High $69.18 | Facility | None | $34.67 | $57.54 | $69.18 |
Medcost Setting Professional Modifier None Typical Low $57.54 Median $67.61 Typical High $95.50 | Professional | None | $57.54 | $67.61 | $95.50 |
Sentara Setting Facility Modifier None Typical Low $50.12 Median $72.44 Typical High $229.09 | Facility | None | $50.12 | $72.44 | $229.09 |
Sentara Setting Professional Modifier None Typical Low $51.29 Median $74.13 Typical High $144.54 | Professional | None | $51.29 | $74.13 | $144.54 |
United Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $151.36 | Facility | None | $128.82 | $128.82 | $151.36 |
United Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $77.62 | Professional | None | $46.77 | $51.29 | $77.62 |
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 $6.31 Median $6.31 Typical High $6.92 | Professional | RR · Rental | $6.31 | $6.31 | $6.92 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $40.74 Median $47.86 Typical High $47.86 | Professional | UE · Used equipment | $40.74 | $47.86 | $47.86 |
Where Virginia sits
The same service costs 3.6 times more in Hawaii than in Utah. 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· 25th of 51
$63.10
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.