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 $57.54 Typical High $57.54 | Facility | None | $46.77 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $57.54 Typical High $138.04 | Professional | None | $46.77 | $57.54 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $125.89 | Facility | None | $117.49 | $117.49 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $70.79 | Professional | None | $64.57 | $64.57 | $70.79 |
CareFirst Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $81.28 | Professional | None | $64.57 | $64.57 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $66.07 Typical High $70.79 | Facility | None | $51.29 | $66.07 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $66.07 | Professional | None | $47.86 | $47.86 | $66.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $117.49 Typical High $151.36 | Professional | None | $81.28 | $117.49 | $151.36 |
Medcost Setting Professional Modifier None Typical Low $69.18 Median $77.62 Typical High $107.15 | Professional | None | $69.18 | $77.62 | $107.15 |
Medcost Setting Facility Modifier None Typical Low $37.15 Median $63.10 Typical High $75.86 | Facility | None | $37.15 | $63.10 | $75.86 |
Medcost Setting Professional Modifier None Typical Low $63.10 Median $70.79 Typical High $147.91 | Professional | None | $63.10 | $70.79 | $147.91 |
Sentara Setting Facility Modifier None Typical Low $57.54 Median $83.18 Typical High $251.19 | Facility | None | $57.54 | $83.18 | $251.19 |
Sentara Setting Professional Modifier None Typical Low $63.10 Median $87.10 Typical High $177.83 | Professional | None | $63.10 | $87.10 | $177.83 |
United Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $173.78 | Facility | None | $144.54 | $144.54 | $173.78 |
United Setting Professional Modifier None Typical Low $52.48 Median $57.54 Typical High $87.10 | Professional | None | $52.48 | $57.54 | $87.10 |
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 $6.61 Median $6.61 Typical High $8.32 | Professional | RR · Rental | $6.61 | $6.61 | $8.32 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $48.98 Typical High $51.29 | Professional | UE · Used equipment | $47.86 | $48.98 | $51.29 |
Where Virginia sits
The same service costs 2.5 times more in Kansas 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· 36th of 51
$64.57
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.