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 $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $831.76 Typical High $831.76 | Professional | None | $776.25 | $831.76 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,698.24 | Facility | None | $1,584.89 | $1,584.89 | $1,698.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,071.52 | Professional | None | $870.96 | $870.96 | $1,071.52 |
CareFirst Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,096.48 | Professional | None | $870.96 | $870.96 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $891.25 Typical High $891.25 | Facility | None | $691.83 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,122.02 Median $1,584.89 Typical High $2,089.30 | Professional | None | $1,122.02 | $1,584.89 | $2,089.30 |
Medcost Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Medcost Setting Facility Modifier None Typical Low $524.81 Median $851.14 Typical High $1,047.13 | Facility | None | $524.81 | $851.14 | $1,047.13 |
Medcost Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $1,202.26 | Professional | None | $851.14 | $954.99 | $1,202.26 |
Sentara Setting Facility Modifier None Typical Low $831.76 Median $1,174.90 Typical High $3,388.44 | Facility | None | $831.76 | $1,174.90 | $3,388.44 |
Sentara Setting Professional Modifier None Typical Low $851.14 Median $1,202.26 Typical High $2,398.83 | Professional | None | $851.14 | $1,202.26 | $2,398.83 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,344.23 | Facility | None | $1,949.84 | $1,949.84 | $2,344.23 |
United Setting Professional Modifier None Typical Low $707.95 Median $776.25 Typical High $1,174.90 | Professional | None | $707.95 | $776.25 | $1,174.90 |
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 $87.10 Median $87.10 Typical High $112.20 | Professional | RR · Rental | $87.10 | $87.10 | $112.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $660.69 Median $660.69 Typical High $707.95 | Professional | UE · Used equipment | $660.69 | $660.69 | $707.95 |
Where Virginia sits
The same service costs 2.5 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· 40th of 51
$871
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.