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 $22.91 Median $27.54 Typical High $27.54 | Facility | None | $22.91 | $27.54 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $27.54 Typical High $35.48 | Professional | None | $22.91 | $27.54 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $60.26 | Facility | None | $56.23 | $56.23 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $36.31 | Professional | None | $32.36 | $32.36 | $36.31 |
CareFirst Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $38.90 | Professional | None | $28.84 | $28.84 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $36.31 Typical High $36.31 | Facility | None | $30.90 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $36.31 | Professional | None | $26.92 | $26.92 | $36.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $39.81 Median $56.23 Typical High $74.13 | Professional | None | $39.81 | $56.23 | $74.13 |
Medcost Setting Professional Modifier None Typical Low $31.62 Median $39.81 Typical High $54.95 | Professional | None | $31.62 | $39.81 | $54.95 |
Medcost Setting Facility Modifier None Typical Low $19.50 Median $30.20 Typical High $37.15 | Facility | None | $19.50 | $30.20 | $37.15 |
Medcost Setting Professional Modifier None Typical Low $30.20 Median $38.02 Typical High $70.79 | Professional | None | $30.20 | $38.02 | $70.79 |
Sentara Setting Facility Modifier None Typical Low $28.18 Median $40.74 Typical High $120.23 | Facility | None | $28.18 | $40.74 | $120.23 |
Sentara Setting Professional Modifier None Typical Low $30.20 Median $41.69 Typical High $85.11 | Professional | None | $30.20 | $41.69 | $85.11 |
United Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $89.13 | Facility | None | $74.13 | $74.13 | $89.13 |
United Setting Professional Modifier None Typical Low $25.12 Median $27.54 Typical High $41.69 | Professional | None | $25.12 | $27.54 | $41.69 |
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 $3.39 Median $3.39 Typical High $4.37 | Professional | RR · Rental | $3.39 | $3.39 | $4.37 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $24.55 Median $25.12 Typical High $26.30 | Professional | UE · Used equipment | $24.55 | $25.12 | $26.30 |
Where Virginia sits
The same service costs 2.8 times more in Hawaii 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· 39th of 51
$32.36
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.