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 $117.49 Median $177.83 Typical High $389.05 | Facility | None | $117.49 | $177.83 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $144.54 Typical High $199.53 | Professional | None | $117.49 | $144.54 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $316.23 | Facility | None | $295.12 | $295.12 | $316.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $181.97 | Professional | None | $158.49 | $158.49 | $181.97 |
CareFirst Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $204.17 | Professional | None | $177.83 | $177.83 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $173.78 Typical High $173.78 | Facility | None | $128.82 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $173.78 | Professional | None | $128.82 | $128.82 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $295.12 Typical High $380.19 | Professional | None | $208.93 | $295.12 | $380.19 |
Medcost Setting Professional Modifier None Typical Low $147.91 Median $194.98 Typical High $194.98 | Professional | None | $147.91 | $194.98 | $194.98 |
Medcost Setting Facility Modifier None Typical Low $93.33 Median $158.49 Typical High $194.98 | Facility | None | $93.33 | $158.49 | $194.98 |
Medcost Setting Professional Modifier None Typical Low $158.49 Median $204.17 Typical High $263.03 | Professional | None | $158.49 | $204.17 | $263.03 |
Sentara Setting Facility Modifier None Typical Low $144.54 Median $239.88 Typical High $630.96 | Facility | None | $144.54 | $239.88 | $630.96 |
Sentara Setting Professional Modifier None Typical Low $158.49 Median $245.47 Typical High $446.68 | Professional | None | $158.49 | $245.47 | $446.68 |
United Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $436.52 | Facility | None | $363.08 | $363.08 | $436.52 |
United Setting Professional Modifier None Typical Low $131.83 Median $144.54 Typical High $218.78 | Professional | None | $131.83 | $144.54 | $218.78 |
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 $16.60 Median $16.60 Typical High $20.89 | Professional | RR · Rental | $16.60 | $16.60 | $20.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $120.23 Median $123.03 Typical High $128.82 | Professional | UE · Used equipment | $120.23 | $123.03 | $128.82 |
Where Virginia sits
The same service costs 2.3 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· 40th of 51
$158
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.