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 $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $257.04 Typical High $257.04 | Professional | None | $245.47 | $257.04 | $257.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $524.81 | Facility | None | $489.78 | $489.78 | $524.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $354.81 | Professional | None | $302.00 | $302.00 | $354.81 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $30.20 Median $30.20 Typical High $35.48 | Professional | RR · Rental | $30.20 | $30.20 | $35.48 |
CareFirst Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $338.84 | Professional | None | $257.04 | $257.04 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $323.59 Typical High $323.59 | Facility | None | $213.80 | $323.59 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $323.59 | Professional | None | $234.42 | $234.42 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $489.78 Typical High $645.65 | Professional | None | $346.74 | $489.78 | $645.65 |
Medcost Setting Professional Modifier None Typical Low $251.19 Median $331.13 Typical High $331.13 | Professional | None | $251.19 | $331.13 | $331.13 |
Medcost Setting Facility Modifier None Typical Low $158.49 Median $263.03 Typical High $323.59 | Facility | None | $158.49 | $263.03 | $323.59 |
Medcost Setting Professional Modifier None Typical Low $263.03 Median $302.00 Typical High $371.54 | Professional | None | $263.03 | $302.00 | $371.54 |
Sentara Setting Facility Modifier None Typical Low $245.47 Median $371.54 Typical High $1,778.28 | Facility | None | $245.47 | $371.54 | $1,778.28 |
Sentara Setting Professional Modifier None Typical Low $251.19 Median $389.05 Typical High $812.83 | Professional | None | $251.19 | $389.05 | $812.83 |
United Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $724.44 | Facility | None | $602.56 | $602.56 | $724.44 |
United Setting Professional Modifier None Typical Low $223.87 Median $239.88 Typical High $363.08 | Professional | None | $223.87 | $239.88 | $363.08 |
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 $223.87 Median $223.87 Typical High $239.88 | Professional | UE · Used equipment | $223.87 | $223.87 | $239.88 |
Where Virginia sits
The same service costs 2.2 times more in Montana than in Vermont. 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· 33rd of 51
$302
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.