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 $141.25 Median $169.82 Typical High $323.59 | Facility | None | $141.25 | $169.82 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $169.82 Typical High $239.88 | Professional | None | $141.25 | $169.82 | $239.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $371.54 | Facility | None | $346.74 | $346.74 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $213.80 | Professional | None | $190.55 | $190.55 | $213.80 |
CareFirst Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $239.88 | Professional | None | $208.93 | $208.93 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $213.80 Typical High $213.80 | Facility | None | $151.36 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $213.80 | Professional | None | $154.88 | $154.88 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $346.74 Typical High $457.09 | Professional | None | $245.47 | $346.74 | $457.09 |
Medcost Setting Professional Modifier None Typical Low $177.83 Median $234.42 Typical High $234.42 | Professional | None | $177.83 | $234.42 | $234.42 |
Medcost Setting Facility Modifier None Typical Low $112.20 Median $186.21 Typical High $229.09 | Facility | None | $112.20 | $186.21 | $229.09 |
Medcost Setting Professional Modifier None Typical Low $186.21 Median $213.80 Typical High $436.52 | Professional | None | $186.21 | $213.80 | $436.52 |
Sentara Setting Facility Modifier None Typical Low $165.96 Median $257.04 Typical High $1,258.93 | Facility | None | $165.96 | $257.04 | $1,258.93 |
Sentara Setting Professional Modifier None Typical Low $177.83 Median $275.42 Typical High $549.54 | Professional | None | $177.83 | $275.42 | $549.54 |
United Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $512.86 | Facility | None | $426.58 | $426.58 | $512.86 |
United Setting Professional Modifier None Typical Low $154.88 Median $169.82 Typical High $257.04 | Professional | None | $154.88 | $169.82 | $257.04 |
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 $19.95 Median $19.95 Typical High $25.12 | Professional | RR · Rental | $19.95 | $19.95 | $25.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $144.54 Median $147.91 Typical High $154.88 | Professional | UE · Used equipment | $144.54 | $147.91 | $154.88 |
Where Virginia sits
The same service costs 2.4 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· 38th of 51
$191
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.