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 $218.78 Median $218.78 Typical High $223.87 | Facility | None | $218.78 | $218.78 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $223.87 | Professional | None | $218.78 | $218.78 | $223.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $457.09 | Facility | None | $426.58 | $426.58 | $457.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $288.40 | Professional | None | $257.04 | $257.04 | $288.40 |
CareFirst Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $295.12 | Professional | None | $234.42 | $234.42 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $323.59 Typical High $323.59 | Facility | None | $218.78 | $323.59 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $323.59 | Professional | None | $239.88 | $239.88 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $426.58 Typical High $549.54 | Professional | None | $302.00 | $426.58 | $549.54 |
Medcost Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $295.12 | Professional | None | $281.84 | $281.84 | $295.12 |
Medcost Setting Facility Modifier None Typical Low $147.91 Median $229.09 Typical High $275.42 | Facility | None | $147.91 | $229.09 | $275.42 |
Medcost Setting Professional Modifier None Typical Low $229.09 Median $257.04 Typical High $309.03 | Professional | None | $229.09 | $257.04 | $309.03 |
Sentara Setting Facility Modifier None Typical Low $208.93 Median $316.23 Typical High $912.01 | Facility | None | $208.93 | $316.23 | $912.01 |
Sentara Setting Professional Modifier None Typical Low $229.09 Median $316.23 Typical High $645.65 | Professional | None | $229.09 | $316.23 | $645.65 |
United Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $676.08 | Facility | None | $575.44 | $575.44 | $676.08 |
United Setting Professional Modifier None Typical Low $194.98 Median $208.93 Typical High $323.59 | Professional | None | $194.98 | $208.93 | $323.59 |
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 $26.30 Median $26.30 Typical High $33.88 | Professional | RR · Rental | $26.30 | $26.30 | $33.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $194.98 Median $199.53 Typical High $208.93 | Professional | UE · Used equipment | $194.98 | $199.53 | $208.93 |
Where Virginia sits
The same service costs 2.6 times more in Hawaii than in Washington, DC. 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
$257
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.