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 $1,445.44 Median $1,445.44 Typical High $1,479.11 | Facility | None | $1,445.44 | $1,445.44 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,479.11 | Professional | None | $1,445.44 | $1,445.44 | $1,479.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,951.21 | Facility | None | $2,818.38 | $2,818.38 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,238.72 | Professional | None | $1,995.26 | $1,995.26 | $2,238.72 |
CareFirst Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,949.84 | Professional | None | $1,548.82 | $1,548.82 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,479.11 | $1,737.80 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,737.80 | Professional | None | $1,258.93 | $1,258.93 | $1,737.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,949.84 Median $2,818.38 Typical High $3,630.78 | Professional | None | $1,949.84 | $2,818.38 | $3,630.78 |
Medcost Setting Professional Modifier None Typical Low $1,659.59 Median $1,862.09 Typical High $2,570.40 | Professional | None | $1,659.59 | $1,862.09 | $2,570.40 |
Medcost Setting Facility Modifier None Typical Low $977.24 Median $1,513.56 Typical High $1,819.70 | Facility | None | $977.24 | $1,513.56 | $1,819.70 |
Medcost Setting Professional Modifier None Typical Low $1,513.56 Median $1,698.24 Typical High $1,862.09 | Professional | None | $1,513.56 | $1,698.24 | $1,862.09 |
Sentara Setting Facility Modifier None Typical Low $1,380.38 Median $1,995.26 Typical High $5,754.40 | Facility | None | $1,380.38 | $1,995.26 | $5,754.40 |
Sentara Setting Professional Modifier None Typical Low $1,513.56 Median $2,089.30 Typical High $4,265.80 | Professional | None | $1,513.56 | $2,089.30 | $4,265.80 |
United Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $4,466.84 | Facility | None | $3,715.35 | $3,715.35 | $4,466.84 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,380.38 Typical High $2,137.96 | Professional | None | $1,288.25 | $1,380.38 | $2,137.96 |
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 $204.17 Median $204.17 Typical High $223.87 | Professional | RR · Rental | $204.17 | $204.17 | $223.87 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,479.11 Median $1,513.56 Typical High $1,584.89 | Professional | UE · Used equipment | $1,479.11 | $1,513.56 | $1,584.89 |
Where Virginia sits
The same service costs 3.4 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· 27th of 51
$1,995
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.