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 $125.89 Median $151.36 Typical High $151.36 | Facility | None | $125.89 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $151.36 Typical High $186.21 | Professional | None | $125.89 | $151.36 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $331.13 | Facility | None | $316.23 | $316.23 | $331.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $194.98 | Professional | None | $169.82 | $169.82 | $194.98 |
CareFirst Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $218.78 | Professional | None | $186.21 | $186.21 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $177.83 Typical High $181.97 | Facility | None | $138.04 | $177.83 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $177.83 | Professional | None | $128.82 | $128.82 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $316.23 Typical High $407.38 | Professional | None | $218.78 | $316.23 | $407.38 |
Medcost Setting Professional Modifier None Typical Low $158.49 Median $208.93 Typical High $208.93 | Professional | None | $158.49 | $208.93 | $208.93 |
Medcost Setting Facility Modifier None Typical Low $100.00 Median $169.82 Typical High $204.17 | Facility | None | $100.00 | $169.82 | $204.17 |
Medcost Setting Professional Modifier None Typical Low $87.10 Median $169.82 Typical High $398.11 | Professional | None | $87.10 | $169.82 | $398.11 |
Sentara Setting Facility Modifier None Typical Low $151.36 Median $234.42 Typical High $912.01 | Facility | None | $151.36 | $234.42 | $912.01 |
Sentara Setting Professional Modifier None Typical Low $169.82 Median $234.42 Typical High $478.63 | Professional | None | $169.82 | $234.42 | $478.63 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $457.09 | Facility | None | $389.05 | $389.05 | $457.09 |
United Setting Professional Modifier None Typical Low $138.04 Median $154.88 Typical High $234.42 | Professional | None | $138.04 | $154.88 | $234.42 |
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 $17.78 Median $17.78 Typical High $22.39 | Professional | RR · Rental | $17.78 | $17.78 | $22.39 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $128.82 Median $131.83 Typical High $138.04 | Professional | UE · Used equipment | $128.82 | $131.83 | $138.04 |
Where Virginia sits
The same service costs 2.3 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· 39th of 51
$170
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.