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 $27.54 Median $48.98 Typical High $48.98 | Facility | None | $27.54 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $48.98 Typical High $48.98 | Professional | None | $27.54 | $48.98 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $69.18 | Facility | None | $64.57 | $64.57 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $58.88 | Professional | None | $54.95 | $54.95 | $58.88 |
CareFirst Setting Professional Modifier None Typical Low $53.70 Median $54.95 Typical High $54.95 | Professional | None | $53.70 | $54.95 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $57.54 Typical High $57.54 | Facility | None | $38.90 | $57.54 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $57.54 | Professional | None | $41.69 | $41.69 | $57.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $100.00 | Professional | None | $39.81 | $57.54 | $100.00 |
Medcost Setting Professional Modifier None Typical Low $51.29 Median $66.07 Typical High $93.33 | Professional | None | $51.29 | $66.07 | $93.33 |
Medcost Setting Facility Modifier None Typical Low $30.20 Median $53.70 Typical High $66.07 | Facility | None | $30.20 | $53.70 | $66.07 |
Medcost Setting Professional Modifier None Typical Low $53.70 Median $61.66 Typical High $81.28 | Professional | None | $53.70 | $61.66 | $81.28 |
Sentara Setting Facility Modifier None Typical Low $45.71 Median $66.07 Typical High $218.78 | Facility | None | $45.71 | $66.07 | $218.78 |
Sentara Setting Professional Modifier None Typical Low $47.86 Median $67.61 Typical High $134.90 | Professional | None | $47.86 | $67.61 | $134.90 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $120.23 | Facility | None | $100.00 | $100.00 | $120.23 |
United Setting Professional Modifier None Typical Low $44.67 Median $48.98 Typical High $74.13 | Professional | None | $44.67 | $48.98 | $74.13 |
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 $5.50 Median $5.50 Typical High $5.89 | Professional | RR · Rental | $5.50 | $5.50 | $5.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $34.67 Median $40.74 Typical High $40.74 | Professional | UE · Used equipment | $34.67 | $40.74 | $40.74 |
Where Virginia sits
The same service costs 3.2 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· 18th of 51
$54.95
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.