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 $199.53 Median $239.88 Typical High $239.88 | Facility | None | $199.53 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $239.88 Typical High $338.84 | Professional | None | $199.53 | $239.88 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $524.81 | Facility | None | $501.19 | $501.19 | $524.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $346.74 | Professional | None | $288.40 | $288.40 | $346.74 |
CareFirst Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $338.84 | Professional | None | $309.03 | $309.03 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $275.42 Typical High $275.42 | Facility | None | $213.80 | $275.42 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $275.42 | Professional | None | $204.17 | $204.17 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $501.19 Typical High $645.65 | Professional | None | $346.74 | $501.19 | $645.65 |
Medcost Setting Professional Modifier None Typical Low $251.19 Median $331.13 Typical High $331.13 | Professional | None | $251.19 | $331.13 | $331.13 |
Medcost Setting Facility Modifier None Typical Low $158.49 Median $269.15 Typical High $323.59 | Facility | None | $158.49 | $269.15 | $323.59 |
Medcost Setting Professional Modifier None Typical Low $269.15 Median $302.00 Typical High $616.60 | Professional | None | $269.15 | $302.00 | $616.60 |
Sentara Setting Facility Modifier None Typical Low $245.47 Median $363.08 Typical High $1,071.52 | Facility | None | $245.47 | $363.08 | $1,071.52 |
Sentara Setting Professional Modifier None Typical Low $263.03 Median $371.54 Typical High $758.58 | Professional | None | $263.03 | $371.54 | $758.58 |
United Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $724.44 | Facility | None | $602.56 | $602.56 | $724.44 |
United Setting Professional Modifier None Typical Low $218.78 Median $239.88 Typical High $407.38 | Professional | None | $218.78 | $239.88 | $407.38 |
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 $28.84 Median $28.84 Typical High $35.48 | Professional | RR · Rental | $28.84 | $28.84 | $35.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $218.78 Median $218.78 Typical High $234.42 | Professional | UE · Used equipment | $218.78 | $218.78 | $234.42 |
Where Virginia sits
The same service costs 2.5 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· 26th of 51
$288
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.