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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,202.26 | $1,258.93 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,570.40 | Facility | None | $2,454.71 | $2,454.71 | $2,570.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,659.59 | Professional | None | $1,348.96 | $1,348.96 | $1,659.59 |
CareFirst Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,659.59 | Professional | None | $1,348.96 | $1,348.96 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,047.13 | $1,380.38 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,380.38 | Professional | None | $1,000.00 | $1,000.00 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,698.24 Median $2,454.71 Typical High $3,162.28 | Professional | None | $1,698.24 | $2,454.71 | $3,162.28 |
Medcost Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Medcost Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $1,584.89 | Facility | None | $812.83 | $1,318.26 | $1,584.89 |
Medcost Setting Professional Modifier None Typical Low $1,318.26 Median $1,479.11 Typical High $1,862.09 | Professional | None | $1,318.26 | $1,479.11 | $1,862.09 |
Sentara Setting Facility Modifier None Typical Low $1,288.25 Median $1,778.28 Typical High $5,011.87 | Facility | None | $1,288.25 | $1,778.28 | $5,011.87 |
Sentara Setting Professional Modifier None Typical Low $1,318.26 Median $1,819.70 Typical High $3,715.35 | Professional | None | $1,318.26 | $1,819.70 | $3,715.35 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,548.13 | Facility | None | $2,951.21 | $2,951.21 | $3,548.13 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,202.26 Typical High $1,778.28 | Professional | None | $1,096.48 | $1,202.26 | $1,778.28 |
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 $134.90 Median $134.90 Typical High $173.78 | Professional | RR · Rental | $134.90 | $134.90 | $173.78 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,000.00 Median $1,000.00 Typical High $1,071.52 | Professional | UE · Used equipment | $1,000.00 | $1,000.00 | $1,071.52 |
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· 38th of 51
$1,349
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.