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 $436.52 Median $524.81 Typical High $524.81 | Facility | None | $436.52 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $524.81 Typical High $575.44 | Professional | None | $436.52 | $524.81 | $575.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,148.15 | Facility | None | $1,071.52 | $1,071.52 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $501.19 | Professional | None | $446.68 | $446.68 | $501.19 |
CareFirst Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $741.31 | Professional | None | $630.96 | $630.96 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $707.95 Typical High $707.95 | Facility | None | $467.74 | $707.95 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $707.95 | Professional | None | $512.86 | $512.86 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $1,071.52 Typical High $1,412.54 | Professional | None | $758.58 | $1,071.52 | $1,412.54 |
Medcost Setting Professional Modifier None Typical Low $630.96 Median $707.95 Typical High $977.24 | Professional | None | $630.96 | $707.95 | $977.24 |
Medcost Setting Facility Modifier None Typical Low $338.84 Median $575.44 Typical High $707.95 | Facility | None | $338.84 | $575.44 | $707.95 |
Medcost Setting Professional Modifier None Typical Low $575.44 Median $616.60 Typical High $1,348.96 | Professional | None | $575.44 | $616.60 | $1,348.96 |
Sentara Setting Facility Modifier None Typical Low $436.52 Median $758.58 Typical High $2,290.87 | Facility | None | $436.52 | $758.58 | $2,290.87 |
Sentara Setting Professional Modifier None Typical Low $524.81 Median $794.33 Typical High $1,621.81 | Professional | None | $524.81 | $794.33 | $1,621.81 |
United Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $1,584.89 | Facility | None | $316.23 | $316.23 | $1,584.89 |
United Setting Professional Modifier None Typical Low $478.63 Median $524.81 Typical High $794.33 | Professional | None | $478.63 | $524.81 | $794.33 |
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 $45.71 Median $45.71 Typical High $75.86 | Professional | RR · Rental | $45.71 | $45.71 | $75.86 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $213.80 Median $346.74 Typical High $346.74 | Professional | UE · Used equipment | $213.80 | $346.74 | $346.74 |
Where Virginia sits
The same service costs 2.1 times more in Iowa 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· 41st of 51
$525
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.