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 $93.33 Median $141.25 Typical High $309.03 | Facility | None | $93.33 | $141.25 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $112.20 Typical High $263.03 | Professional | None | $93.33 | $112.20 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $245.47 | Facility | None | $234.42 | $234.42 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $144.54 | Professional | None | $125.89 | $125.89 | $144.54 |
CareFirst Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $158.49 | Professional | None | $138.04 | $138.04 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $131.83 Typical High $131.83 | Facility | None | $100.00 | $131.83 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $131.83 | Professional | None | $95.50 | $95.50 | $131.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $234.42 Typical High $302.00 | Professional | None | $162.18 | $234.42 | $302.00 |
Medcost Setting Professional Modifier None Typical Low $117.49 Median $154.88 Typical High $154.88 | Professional | None | $117.49 | $154.88 | $154.88 |
Medcost Setting Facility Modifier None Typical Low $74.13 Median $125.89 Typical High $151.36 | Facility | None | $74.13 | $125.89 | $151.36 |
Medcost Setting Professional Modifier None Typical Low $125.89 Median $158.49 Typical High $208.93 | Professional | None | $125.89 | $158.49 | $208.93 |
Sentara Setting Facility Modifier None Typical Low $112.20 Median $169.82 Typical High $501.19 | Facility | None | $112.20 | $169.82 | $501.19 |
Sentara Setting Professional Modifier None Typical Low $125.89 Median $173.78 Typical High $354.81 | Professional | None | $125.89 | $173.78 | $354.81 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $338.84 | Facility | None | $281.84 | $281.84 | $338.84 |
United Setting Professional Modifier None Typical Low $102.33 Median $114.82 Typical High $169.82 | Professional | None | $102.33 | $114.82 | $169.82 |
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 $13.18 Median $13.18 Typical High $16.60 | Professional | RR · Rental | $13.18 | $13.18 | $16.60 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $95.50 Median $97.72 Typical High $102.33 | Professional | UE · Used equipment | $95.50 | $97.72 | $102.33 |
Where Virginia sits
The same service costs 2.3 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· 37th of 51
$126
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.