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 $109.65 Median $131.83 Typical High $131.83 | Facility | None | $109.65 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $186.21 | Professional | None | $109.65 | $131.83 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $288.40 | Facility | None | $275.42 | $275.42 | $288.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $162.18 | Professional | None | $147.91 | $147.91 | $162.18 |
CareFirst Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $186.21 | Professional | None | $147.91 | $147.91 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $134.90 Typical High $134.90 | Facility | None | $117.49 | $134.90 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $134.90 | Professional | None | $97.72 | $97.72 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $275.42 Typical High $354.81 | Professional | None | $190.55 | $275.42 | $354.81 |
Medcost Setting Professional Modifier None Typical Low $162.18 Median $177.83 Typical High $251.19 | Professional | None | $162.18 | $177.83 | $251.19 |
Medcost Setting Facility Modifier None Typical Low $87.10 Median $147.91 Typical High $177.83 | Facility | None | $87.10 | $147.91 | $177.83 |
Medcost Setting Professional Modifier None Typical Low $125.89 Median $154.88 Typical High $245.47 | Professional | None | $125.89 | $154.88 | $245.47 |
Sentara Setting Facility Modifier None Typical Low $131.83 Median $194.98 Typical High $588.84 | Facility | None | $131.83 | $194.98 | $588.84 |
Sentara Setting Professional Modifier None Typical Low $147.91 Median $199.53 Typical High $407.38 | Professional | None | $147.91 | $199.53 | $407.38 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $398.11 | Facility | None | $331.13 | $331.13 | $398.11 |
United Setting Professional Modifier None Typical Low $120.23 Median $134.90 Typical High $199.53 | Professional | None | $120.23 | $134.90 | $199.53 |
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 $15.14 Median $15.14 Typical High $19.50 | Professional | RR · Rental | $15.14 | $15.14 | $19.50 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $112.20 Median $114.82 Typical High $120.23 | Professional | UE · Used equipment | $112.20 | $114.82 | $120.23 |
Where Virginia sits
The same service costs 2.3 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· 35th of 51
$148
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.