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 $398.11 Median $489.78 Typical High $489.78 | Facility | None | $398.11 | $489.78 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $489.78 Typical High $489.78 | Professional | None | $398.11 | $489.78 | $489.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,071.52 | Facility | None | $1,000.00 | $1,000.00 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $588.84 | Professional | None | $501.19 | $501.19 | $588.84 |
CareFirst Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $691.83 | Professional | None | $602.56 | $602.56 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $575.44 Typical High $575.44 | Facility | None | $371.54 | $575.44 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $575.44 | Professional | None | $426.58 | $426.58 | $575.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $1,000.00 Typical High $1,288.25 | Professional | None | $707.95 | $1,000.00 | $1,288.25 |
Medcost Setting Professional Modifier None Typical Low $416.87 Median $660.69 Typical High $660.69 | Professional | None | $416.87 | $660.69 | $660.69 |
Medcost Setting Facility Modifier None Typical Low $288.40 Median $537.03 Typical High $645.65 | Facility | None | $288.40 | $537.03 | $645.65 |
Medcost Setting Professional Modifier None Typical Low $537.03 Median $645.65 Typical High $1,258.93 | Professional | None | $537.03 | $645.65 | $1,258.93 |
Sentara Setting Facility Modifier None Typical Low $562.34 Median $812.83 Typical High $3,548.13 | Facility | None | $562.34 | $812.83 | $3,548.13 |
Sentara Setting Professional Modifier None Typical Low $537.03 Median $831.76 Typical High $1,513.56 | Professional | None | $537.03 | $831.76 | $1,513.56 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,318.26 | Facility | None | $1,096.48 | $1,096.48 | $1,318.26 |
United Setting Professional Modifier None Typical Low $407.38 Median $489.78 Typical High $870.96 | Professional | None | $407.38 | $489.78 | $870.96 |
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 $50.12 Median $50.12 Typical High $64.57 | Professional | RR · Rental | $50.12 | $50.12 | $64.57 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $371.54 Median $371.54 Typical High $398.11 | Professional | UE · Used equipment | $371.54 | $371.54 | $398.11 |
Where Virginia sits
The same service costs 2.8 times more in Hawaii 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· 37th of 51
$501
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.