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 $10,964.78 Median $10,964.78 Typical High $10,964.78 | Facility | None | $10,964.78 | $10,964.78 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $10,471.29 Median $10,964.78 Typical High $10,964.78 | Professional | None | $10,471.29 | $10,964.78 | $10,964.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $20,892.96 Median $20,892.96 Typical High $22,387.21 | Facility | None | $20,892.96 | $20,892.96 | $22,387.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $11,220.18 Median $11,220.18 Typical High $12,882.50 | Professional | None | $11,220.18 | $11,220.18 | $12,882.50 |
CareFirst Setting Professional Modifier None Typical Low $12,302.69 Median $12,302.69 Typical High $14,454.40 | Professional | None | $12,302.69 | $12,302.69 | $14,454.40 |
Cigna Setting Facility Modifier None Typical Low $9,120.11 Median $12,882.50 Typical High $12,882.50 | Facility | None | $9,120.11 | $12,882.50 | $12,882.50 |
Cigna Setting Professional Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $12,882.50 | Professional | None | $9,332.54 | $9,332.54 | $12,882.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14,791.08 Median $20,892.96 Typical High $27,542.29 | Professional | None | $14,791.08 | $20,892.96 | $27,542.29 |
Medcost Setting Professional Modifier None Typical Low $15,488.17 Median $15,488.17 Typical High $26,302.68 | Professional | None | $15,488.17 | $15,488.17 | $26,302.68 |
Medcost Setting Facility Modifier None Typical Low $7,079.46 Median $11,220.18 Typical High $13,803.84 | Facility | None | $7,079.46 | $11,220.18 | $13,803.84 |
Medcost Setting Professional Modifier None Typical Low $11,220.18 Median $12,589.25 Typical High $15,848.93 | Professional | None | $11,220.18 | $12,589.25 | $15,848.93 |
Sentara Setting Facility Modifier None Typical Low $8,511.38 Median $15,488.17 Typical High $32,359.37 | Facility | None | $8,511.38 | $15,488.17 | $32,359.37 |
Sentara Setting Professional Modifier None Typical Low $11,220.18 Median $15,488.17 Typical High $28,183.83 | Professional | None | $11,220.18 | $15,488.17 | $28,183.83 |
United Setting Facility Modifier None Typical Low $25,703.96 Median $25,703.96 Typical High $30,902.95 | Facility | None | $25,703.96 | $25,703.96 | $30,902.95 |
United Setting Professional Modifier None Typical Low $9,332.54 Median $10,232.93 Typical High $15,488.17 | Professional | None | $9,332.54 | $10,232.93 | $15,488.17 |
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 $1,202.26 Median $1,202.26 Typical High $1,479.11 | Professional | RR · Rental | $1,202.26 | $1,202.26 | $1,479.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $8,511.38 Median $8,912.51 Typical High $9,120.11 | Professional | UE · Used equipment | $8,511.38 | $8,912.51 | $9,120.11 |
Where Virginia sits
The same service costs 2.3 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· 37th of 51
$11,220
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.