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 $75.86 Median $91.20 Typical High $91.20 | Facility | None | $75.86 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $91.20 Typical High $123.03 | Professional | None | $75.86 | $91.20 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $204.17 | Facility | None | $190.55 | $190.55 | $204.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $117.49 | Professional | None | $104.71 | $104.71 | $117.49 |
CareFirst Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $131.83 | Professional | None | $104.71 | $104.71 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $107.15 Typical High $123.03 | Facility | None | $83.18 | $107.15 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $107.15 | Professional | None | $77.62 | $77.62 | $107.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $190.55 Typical High $245.47 | Professional | None | $131.83 | $190.55 | $245.47 |
Medcost Setting Professional Modifier None Typical Low $112.20 Median $125.89 Typical High $173.78 | Professional | None | $112.20 | $125.89 | $173.78 |
Medcost Setting Facility Modifier None Typical Low $60.26 Median $102.33 Typical High $123.03 | Facility | None | $60.26 | $102.33 | $123.03 |
Medcost Setting Professional Modifier None Typical Low $87.10 Median $102.33 Typical High $239.88 | Professional | None | $87.10 | $102.33 | $239.88 |
Sentara Setting Facility Modifier None Typical Low $93.33 Median $134.90 Typical High $407.38 | Facility | None | $93.33 | $134.90 | $407.38 |
Sentara Setting Professional Modifier None Typical Low $102.33 Median $141.25 Typical High $288.40 | Professional | None | $102.33 | $141.25 | $288.40 |
United Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $275.42 | Facility | None | $234.42 | $234.42 | $275.42 |
United Setting Professional Modifier None Typical Low $83.18 Median $93.33 Typical High $141.25 | Professional | None | $83.18 | $93.33 | $141.25 |
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 $10.72 Median $10.72 Typical High $13.49 | Professional | RR · Rental | $10.72 | $10.72 | $13.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $77.62 Median $79.43 Typical High $83.18 | Professional | UE · Used equipment | $77.62 | $79.43 | $83.18 |
Where Virginia sits
The same service costs 2.3 times more in Iowa 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· 40th of 51
$105
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.