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 $524.81 Median $524.81 Typical High $537.03 | Facility | None | $524.81 | $524.81 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $537.03 | Professional | None | $524.81 | $524.81 | $537.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,096.48 | Facility | None | $1,023.29 | $1,023.29 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $676.08 | Professional | None | $602.56 | $602.56 | $676.08 |
CareFirst Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $707.95 | Professional | None | $562.34 | $562.34 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $758.58 Typical High $758.58 | Facility | None | $512.86 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $758.58 | Professional | None | $562.34 | $562.34 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $724.44 Median $1,023.29 Typical High $1,318.26 | Professional | None | $724.44 | $1,023.29 | $1,318.26 |
Medcost Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $691.83 | Professional | None | $676.08 | $676.08 | $691.83 |
Medcost Setting Facility Modifier None Typical Low $354.81 Median $549.54 Typical High $660.69 | Facility | None | $354.81 | $549.54 | $660.69 |
Medcost Setting Professional Modifier None Typical Low $549.54 Median $676.08 Typical High $741.31 | Professional | None | $549.54 | $676.08 | $741.31 |
Sentara Setting Facility Modifier None Typical Low $501.19 Median $758.58 Typical High $2,187.76 | Facility | None | $501.19 | $758.58 | $2,187.76 |
Sentara Setting Professional Modifier None Typical Low $549.54 Median $758.58 Typical High $1,548.82 | Professional | None | $549.54 | $758.58 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,621.81 | Facility | None | $1,380.38 | $1,380.38 | $1,621.81 |
United Setting Professional Modifier None Typical Low $467.74 Median $501.19 Typical High $776.25 | Professional | None | $467.74 | $501.19 | $776.25 |
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 $61.66 Median $61.66 Typical High $79.43 | Professional | RR · Rental | $61.66 | $61.66 | $79.43 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $457.09 Median $467.74 Typical High $489.78 | Professional | UE · Used equipment | $457.09 | $467.74 | $489.78 |
Where Virginia sits
The same service costs 2.8 times more in Hawaii than in Oklahoma. 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· 38th of 51
$603
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.