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 $416.87 Median $416.87 Typical High $426.58 | Facility | None | $416.87 | $416.87 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $416.87 Typical High $426.58 | Professional | None | $398.11 | $416.87 | $426.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $851.14 | Facility | None | $812.83 | $812.83 | $851.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $562.34 Typical High $741.31 | Professional | None | $371.54 | $562.34 | $741.31 |
CareFirst Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $549.54 | Professional | None | $446.68 | $446.68 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $524.81 Typical High $524.81 | Facility | None | $346.74 | $524.81 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $524.81 | Professional | None | $380.19 | $380.19 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $562.34 Median $812.83 Typical High $1,047.13 | Professional | None | $562.34 | $812.83 | $1,047.13 |
Medcost Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Medcost Setting Facility Modifier None Typical Low $269.15 Median $436.52 Typical High $524.81 | Facility | None | $269.15 | $436.52 | $524.81 |
Medcost Setting Professional Modifier None Typical Low $436.52 Median $489.78 Typical High $616.60 | Professional | None | $436.52 | $489.78 | $616.60 |
Sentara Setting Facility Modifier None Typical Low $426.58 Median $588.84 Typical High $1,737.80 | Facility | None | $426.58 | $588.84 | $1,737.80 |
Sentara Setting Professional Modifier None Typical Low $436.52 Median $602.56 Typical High $1,230.27 | Professional | None | $436.52 | $602.56 | $1,230.27 |
United Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $1,174.90 | Facility | None | $977.24 | $977.24 | $1,174.90 |
United Setting Professional Modifier None Typical Low $363.08 Median $398.11 Typical High $588.84 | Professional | None | $363.08 | $398.11 | $588.84 |
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 $43.65 Median $43.65 Typical High $57.54 | Professional | RR · Rental | $43.65 | $43.65 | $57.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $331.13 Median $331.13 Typical High $354.81 | Professional | UE · Used equipment | $331.13 | $331.13 | $354.81 |
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· 31st of 51
$479
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.