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 $57.54 Median $169.82 Typical High $169.82 | Facility | None | $57.54 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $169.82 Typical High $169.82 | Professional | None | $57.54 | $169.82 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $144.54 | Facility | None | $138.04 | $138.04 | $144.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $64.57 | Professional | None | $39.81 | $39.81 | $64.57 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $30.20 Typical High $31.62 | Professional | UE · Used equipment | $29.51 | $30.20 | $31.62 |
CareFirst Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $81.28 | Professional | None | $77.62 | $77.62 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $102.33 | Facility | None | $52.48 | $52.48 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $52.48 | Professional | None | $38.02 | $38.02 | $52.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $208.93 | Professional | None | $85.11 | $120.23 | $208.93 |
Medcost Setting Facility Modifier None Typical Low $28.84 Median $31.62 Typical High $309.03 | Facility | None | $28.84 | $31.62 | $309.03 |
Medcost Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $177.83 | Professional | None | $128.82 | $128.82 | $177.83 |
Sentara Setting Facility Modifier None Typical Low $70.79 Median $173.78 Typical High $10,232.93 | Facility | None | $70.79 | $173.78 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $70.79 Median $138.04 Typical High $776.25 | Professional | None | $70.79 | $138.04 | $776.25 |
United Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $257.04 | Facility | None | $213.80 | $213.80 | $257.04 |
United Setting Professional Modifier None Typical Low $95.50 Median $104.71 Typical High $169.82 | Professional | None | $95.50 | $104.71 | $169.82 |
1 more rate 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 $8.51 Median $37.15 Typical High $39.81 | Professional | RR · Rental | $8.51 | $37.15 | $39.81 |
Where Virginia sits
The same service costs 5.4 times more in Hawaii than in New Hampshire. 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
$81.28
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.