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 $831.76 Median $1,000.00 Typical High $1,000.00 | Facility | None | $831.76 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $1,000.00 Typical High $1,000.00 | Professional | None | $831.76 | $1,000.00 | $1,000.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,187.76 | Facility | None | $2,041.74 | $2,041.74 | $2,187.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,380.38 | Professional | None | $1,122.02 | $1,122.02 | $1,380.38 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $112.20 Median $112.20 Typical High $147.91 | Professional | RR · Rental | $112.20 | $112.20 | $147.91 |
CareFirst Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,412.54 | Professional | None | $1,230.27 | $1,230.27 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,348.96 Typical High $1,348.96 | Facility | None | $891.25 | $1,348.96 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,348.96 | Professional | None | $977.24 | $977.24 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,445.44 Median $2,041.74 Typical High $2,691.53 | Professional | None | $1,445.44 | $2,041.74 | $2,691.53 |
Medcost Setting Professional Modifier None Typical Low $1,047.13 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,047.13 | $1,348.96 | $1,348.96 |
Medcost Setting Facility Modifier None Typical Low $660.69 Median $1,096.48 Typical High $1,348.96 | Facility | None | $660.69 | $1,096.48 | $1,348.96 |
Medcost Setting Professional Modifier None Typical Low $1,096.48 Median $1,258.93 Typical High $2,570.40 | Professional | None | $1,096.48 | $1,258.93 | $2,570.40 |
Sentara Setting Facility Modifier None Typical Low $977.24 Median $1,513.56 Typical High $5,888.44 | Facility | None | $977.24 | $1,513.56 | $5,888.44 |
Sentara Setting Professional Modifier None Typical Low $1,047.13 Median $1,584.89 Typical High $3,162.28 | Professional | None | $1,047.13 | $1,584.89 | $3,162.28 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Facility | None | $2,511.89 | $2,511.89 | $3,019.95 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,000.00 Typical High $1,513.56 | Professional | None | $912.01 | $1,000.00 | $1,513.56 |
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 $851.14 Median $851.14 Typical High $912.01 | Professional | UE · Used equipment | $851.14 | $851.14 | $912.01 |
Where Virginia sits
The same service costs 2.2 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· 35th of 51
$1,122
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.