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 $234.42 Median $281.84 Typical High $281.84 | Facility | None | $234.42 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $281.84 Typical High $316.23 | Professional | None | $234.42 | $281.84 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $616.60 | Facility | None | $575.44 | $575.44 | $616.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $426.58 | Professional | None | $323.59 | $323.59 | $426.58 |
CareFirst Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $398.11 | Professional | None | $363.08 | $363.08 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $323.59 Typical High $323.59 | Facility | None | $251.19 | $323.59 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $323.59 | Professional | None | $239.88 | $239.88 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $575.44 Typical High $758.58 | Professional | None | $407.38 | $575.44 | $758.58 |
Medcost Setting Professional Modifier None Typical Low $295.12 Median $389.05 Typical High $389.05 | Professional | None | $295.12 | $389.05 | $389.05 |
Medcost Setting Facility Modifier None Typical Low $186.21 Median $309.03 Typical High $380.19 | Facility | None | $186.21 | $309.03 | $380.19 |
Medcost Setting Professional Modifier None Typical Low $309.03 Median $398.11 Typical High $724.44 | Professional | None | $309.03 | $398.11 | $724.44 |
Sentara Setting Facility Modifier None Typical Low $275.42 Median $446.68 Typical High $2,089.30 | Facility | None | $275.42 | $446.68 | $2,089.30 |
Sentara Setting Professional Modifier None Typical Low $295.12 Median $457.09 Typical High $954.99 | Professional | None | $295.12 | $457.09 | $954.99 |
United Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $851.14 | Facility | None | $707.95 | $707.95 | $851.14 |
United Setting Professional Modifier None Typical Low $257.04 Median $281.84 Typical High $426.58 | Professional | None | $257.04 | $281.84 | $426.58 |
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 $32.36 Median $32.36 Typical High $41.69 | Professional | RR · Rental | $32.36 | $32.36 | $41.69 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $239.88 Median $245.47 Typical High $257.04 | Professional | UE · Used equipment | $239.88 | $245.47 | $257.04 |
Where Virginia sits
The same service costs 3.0 times more in Hawaii than in Kansas. 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· 38th of 51
$324
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.