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 $42.66 Median $51.29 Typical High $51.29 | Facility | None | $42.66 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $51.29 Typical High $57.54 | Professional | None | $42.66 | $51.29 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $112.20 | Facility | None | $104.71 | $104.71 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $66.07 | Professional | None | $57.54 | $57.54 | $66.07 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.03 Median $6.03 Typical High $7.24 | Professional | RR · Rental | $6.03 | $6.03 | $7.24 |
CareFirst Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $72.44 | Professional | None | $53.70 | $53.70 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $60.26 Typical High $60.26 | Facility | None | $44.67 | $60.26 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $60.26 | Professional | None | $43.65 | $43.65 | $60.26 |
Cigna Setting Professional Modifier RR · Rental Typical Low $5.13 Median $5.13 Typical High $6.03 | Professional | RR · Rental | $5.13 | $5.13 | $6.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $138.04 | Professional | None | $74.13 | $104.71 | $138.04 |
Medcost Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $41.69 | Professional | None | $27.54 | $27.54 | $41.69 |
Medcost Setting Facility Modifier None Typical Low $33.88 Median $56.23 Typical High $69.18 | Facility | None | $33.88 | $56.23 | $69.18 |
Medcost Setting Professional Modifier None Typical Low $22.39 Median $56.23 Typical High $131.83 | Professional | None | $22.39 | $56.23 | $131.83 |
Sentara Setting Facility Modifier None Typical Low $27.54 Median $72.44 Typical High $229.09 | Facility | None | $27.54 | $72.44 | $229.09 |
Sentara Setting Professional Modifier None Typical Low $27.54 Median $75.86 Typical High $158.49 | Professional | None | $27.54 | $75.86 | $158.49 |
United Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $154.88 | Facility | None | $131.83 | $131.83 | $154.88 |
United Setting Professional Modifier None Typical Low $27.54 Median $51.29 Typical High $69.18 | Professional | None | $27.54 | $51.29 | $69.18 |
1 more rate 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 UE · Used equipment Typical Low $43.65 Median $44.67 Typical High $44.67 | Professional | UE · Used equipment | $43.65 | $44.67 | $44.67 |
Where Virginia sits
The same service costs 2.5 times more in Kansas than in Florida. 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
$57.54
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.