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 $169.82 Median $208.93 Typical High $208.93 | Facility | None | $169.82 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $208.93 Typical High $208.93 | Professional | None | $169.82 | $208.93 | $208.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $457.09 | Facility | None | $426.58 | $426.58 | $457.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $288.40 | Professional | None | $234.42 | $234.42 | $288.40 |
CareFirst Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $295.12 | Professional | None | $234.42 | $234.42 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $251.19 Typical High $251.19 | Facility | None | $186.21 | $251.19 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $251.19 | Professional | None | $181.97 | $181.97 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $426.58 Typical High $549.54 | Professional | None | $302.00 | $426.58 | $549.54 |
Medcost Setting Professional Modifier None Typical Low $251.19 Median $281.84 Typical High $389.05 | Professional | None | $251.19 | $281.84 | $389.05 |
Medcost Setting Facility Modifier None Typical Low $134.90 Median $229.09 Typical High $281.84 | Facility | None | $134.90 | $229.09 | $281.84 |
Medcost Setting Professional Modifier None Typical Low $229.09 Median $257.04 Typical High $537.03 | Professional | None | $229.09 | $257.04 | $537.03 |
Sentara Setting Facility Modifier None Typical Low $208.93 Median $302.00 Typical High $912.01 | Facility | None | $208.93 | $302.00 | $912.01 |
Sentara Setting Professional Modifier None Typical Low $229.09 Median $316.23 Typical High $645.65 | Professional | None | $229.09 | $316.23 | $645.65 |
United Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $630.96 | Facility | None | $524.81 | $524.81 | $630.96 |
United Setting Professional Modifier None Typical Low $190.55 Median $208.93 Typical High $316.23 | Professional | None | $190.55 | $208.93 | $316.23 |
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 $23.44 Median $23.44 Typical High $30.20 | Professional | RR · Rental | $23.44 | $23.44 | $30.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $173.78 Median $173.78 Typical High $190.55 | Professional | UE · Used equipment | $173.78 | $173.78 | $190.55 |
Where Virginia sits
The same service costs 2.5 times more in Montana 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
$234
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.