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 $218.78 Median $263.03 Typical High $263.03 | Facility | None | $218.78 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $263.03 Typical High $354.81 | Professional | None | $218.78 | $263.03 | $354.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $575.44 | Facility | None | $549.54 | $549.54 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $371.54 | Professional | None | $302.00 | $302.00 | $371.54 |
CareFirst Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $371.54 | Professional | None | $302.00 | $302.00 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $407.38 | Facility | None | $371.54 | $371.54 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $371.54 | Professional | None | $275.42 | $275.42 | $371.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $691.83 | Professional | None | $380.19 | $549.54 | $691.83 |
Medcost Setting Facility Modifier None Typical Low $186.21 Median $354.81 Typical High $549.54 | Facility | None | $186.21 | $354.81 | $549.54 |
Medcost Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $676.08 | Professional | None | $323.59 | $323.59 | $676.08 |
Sentara Setting Facility Modifier None Typical Low $309.03 Median $512.86 Typical High $891.25 | Facility | None | $309.03 | $512.86 | $891.25 |
Sentara Setting Professional Modifier None Typical Low $302.00 Median $457.09 Typical High $831.76 | Professional | None | $302.00 | $457.09 | $831.76 |
United Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $794.33 | Facility | None | $660.69 | $660.69 | $794.33 |
United Setting Professional Modifier None Typical Low $251.19 Median $269.15 Typical High $426.58 | Professional | None | $251.19 | $269.15 | $426.58 |
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 $30.20 Median $30.20 Typical High $38.90 | Professional | RR · Rental | $30.20 | $30.20 | $38.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | UE · Used equipment | $223.87 | $223.87 | $223.87 |
Where Virginia sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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· 44th of 51
$302
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.