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 $138.04 Median $138.04 Typical High $141.25 | Facility | None | $138.04 | $138.04 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $138.04 Typical High $141.25 | Professional | None | $128.82 | $138.04 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $288.40 | Facility | None | $269.15 | $269.15 | $288.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $190.55 Typical High $251.19 | Professional | None | $125.89 | $190.55 | $251.19 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $14.79 Median $14.79 Typical High $19.50 | Professional | RR · Rental | $14.79 | $14.79 | $19.50 |
CareFirst Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $186.21 | Professional | None | $158.49 | $158.49 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $158.49 Typical High $158.49 | Facility | None | $112.20 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $158.49 | Professional | None | $117.49 | $117.49 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $269.15 Typical High $346.74 | Professional | None | $186.21 | $269.15 | $346.74 |
Medcost Setting Professional Modifier None Typical Low $138.04 Median $177.83 Typical High $177.83 | Professional | None | $138.04 | $177.83 | $177.83 |
Medcost Setting Facility Modifier None Typical Low $87.10 Median $144.54 Typical High $173.78 | Facility | None | $87.10 | $144.54 | $173.78 |
Medcost Setting Professional Modifier None Typical Low $144.54 Median $151.36 Typical High $177.83 | Professional | None | $144.54 | $151.36 | $177.83 |
Sentara Setting Facility Modifier None Typical Low $128.82 Median $199.53 Typical High $954.99 | Facility | None | $128.82 | $199.53 | $954.99 |
Sentara Setting Professional Modifier None Typical Low $138.04 Median $208.93 Typical High $436.52 | Professional | None | $138.04 | $208.93 | $436.52 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $398.11 | Facility | None | $331.13 | $331.13 | $398.11 |
United Setting Professional Modifier None Typical Low $120.23 Median $131.83 Typical High $199.53 | Professional | None | $120.23 | $131.83 | $199.53 |
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 $112.20 Median $112.20 Typical High $120.23 | Professional | UE · Used equipment | $112.20 | $112.20 | $120.23 |
Where Virginia sits
The same service costs 3.0 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· 34th of 51
$158
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.