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 $46.77 Median $56.23 Typical High $56.23 | Facility | None | $46.77 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $56.23 Typical High $72.44 | Professional | None | $46.77 | $56.23 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $123.03 | Facility | None | $114.82 | $114.82 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $89.13 | Professional | None | $72.44 | $72.44 | $89.13 |
CareFirst Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $79.43 | Professional | None | $61.66 | $61.66 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $70.79 Typical High $74.13 | Facility | None | $48.98 | $70.79 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $70.79 | Professional | None | $51.29 | $51.29 | $70.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $114.82 Typical High $151.36 | Professional | None | $81.28 | $114.82 | $151.36 |
Medcost Setting Professional Modifier None Typical Low $67.61 Median $75.86 Typical High $107.15 | Professional | None | $67.61 | $75.86 | $107.15 |
Medcost Setting Facility Modifier None Typical Low $39.81 Median $61.66 Typical High $75.86 | Facility | None | $39.81 | $61.66 | $75.86 |
Medcost Setting Professional Modifier None Typical Low $51.29 Median $64.57 Typical High $144.54 | Professional | None | $51.29 | $64.57 | $144.54 |
Sentara Setting Facility Modifier None Typical Low $56.23 Median $81.28 Typical High $251.19 | Facility | None | $56.23 | $81.28 | $251.19 |
Sentara Setting Professional Modifier None Typical Low $61.66 Median $85.11 Typical High $173.78 | Professional | None | $61.66 | $85.11 | $173.78 |
United Setting Facility Modifier None Typical Low $52.48 Median $67.61 Typical High $154.88 | Facility | None | $52.48 | $67.61 | $154.88 |
United Setting Professional Modifier None Typical Low $51.29 Median $56.23 Typical High $85.11 | Professional | None | $51.29 | $56.23 | $85.11 |
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 $7.24 Median $7.24 Typical High $8.91 | Professional | RR · Rental | $7.24 | $7.24 | $8.91 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | UE · Used equipment | $53.70 | $53.70 | $53.70 |
Where Virginia sits
The same service costs 2.8 times more in Wyoming 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· 31st of 51
$72.44
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.