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 $562.34 Median $676.08 Typical High $676.08 | Facility | None | $562.34 | $676.08 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $676.08 Typical High $758.58 | Professional | None | $562.34 | $676.08 | $758.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,479.11 | Facility | None | $1,412.54 | $1,412.54 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $831.76 | Professional | None | $741.31 | $741.31 | $831.76 |
CareFirst Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $954.99 | Professional | None | $870.96 | $870.96 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $912.01 Typical High $912.01 | Facility | None | $602.56 | $912.01 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $912.01 | Professional | None | $660.69 | $660.69 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $977.24 Median $1,412.54 Typical High $1,819.70 | Professional | None | $977.24 | $1,412.54 | $1,819.70 |
Medcost Setting Professional Modifier None Typical Low $707.95 Median $933.25 Typical High $933.25 | Professional | None | $707.95 | $933.25 | $933.25 |
Medcost Setting Facility Modifier None Typical Low $446.68 Median $758.58 Typical High $912.01 | Facility | None | $446.68 | $758.58 | $912.01 |
Medcost Setting Professional Modifier None Typical Low $758.58 Median $851.14 Typical High $1,737.80 | Professional | None | $758.58 | $851.14 | $1,737.80 |
Sentara Setting Facility Modifier None Typical Low $676.08 Median $1,023.29 Typical High $4,570.88 | Facility | None | $676.08 | $1,023.29 | $4,570.88 |
Sentara Setting Professional Modifier None Typical Low $707.95 Median $1,096.48 Typical High $2,137.96 | Professional | None | $707.95 | $1,096.48 | $2,137.96 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $2,041.74 | Facility | None | $1,698.24 | $1,698.24 | $2,041.74 |
United Setting Professional Modifier None Typical Low $616.60 Median $691.83 Typical High $1,023.29 | Professional | None | $616.60 | $691.83 | $1,023.29 |
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 $75.86 Median $75.86 Typical High $100.00 | Professional | RR · Rental | $75.86 | $75.86 | $100.00 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $549.54 Median $562.34 Typical High $562.34 | Professional | UE · Used equipment | $549.54 | $562.34 | $562.34 |
Where Virginia sits
The same service costs 2.2 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· 36th of 51
$741
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.