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 $870.96 Median $1,047.13 Typical High $1,047.13 | Facility | None | $870.96 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $1,047.13 | Professional | None | $870.96 | $1,047.13 | $1,047.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,290.87 | Facility | None | $2,187.76 | $2,187.76 | $2,290.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $1,513.56 Typical High $1,995.26 | Professional | None | $1,000.00 | $1,513.56 | $1,995.26 |
CareFirst Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,479.11 | Professional | None | $1,348.96 | $1,348.96 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,548.82 Typical High $1,548.82 | Facility | None | $933.25 | $1,548.82 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,548.82 | Professional | None | $1,122.02 | $1,122.02 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,513.56 Median $2,187.76 Typical High $2,818.38 | Professional | None | $1,513.56 | $2,187.76 | $2,818.38 |
Medcost Setting Professional Modifier None Typical Low $1,096.48 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,096.48 | $1,445.44 | $1,445.44 |
Medcost Setting Facility Modifier None Typical Low $691.83 Median $1,174.90 Typical High $1,412.54 | Facility | None | $691.83 | $1,174.90 | $1,412.54 |
Medcost Setting Professional Modifier None Typical Low $1,174.90 Median $1,318.26 Typical High $2,691.53 | Professional | None | $1,174.90 | $1,318.26 | $2,691.53 |
Sentara Setting Facility Modifier None Typical Low $1,047.13 Median $1,584.89 Typical High $4,677.35 | Facility | None | $1,047.13 | $1,584.89 | $4,677.35 |
Sentara Setting Professional Modifier None Typical Low $1,174.90 Median $1,621.81 Typical High $3,235.94 | Professional | None | $1,174.90 | $1,621.81 | $3,235.94 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,162.28 | Facility | None | $2,630.27 | $2,630.27 | $3,162.28 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,047.13 Typical High $1,584.89 | Professional | None | $954.99 | $1,047.13 | $1,584.89 |
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 $117.49 Median $117.49 Typical High $154.88 | Professional | RR · Rental | $117.49 | $117.49 | $154.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $891.25 Median $891.25 Typical High $954.99 | Professional | UE · Used equipment | $891.25 | $891.25 | $954.99 |
Where Virginia sits
The same service costs 2.0 times more in Hawaii than in Tennessee. 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· 25th of 51
$1,349
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.