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 $2,344.23 Median $2,344.23 Typical High $2,398.83 | Facility | None | $2,344.23 | $2,344.23 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,344.23 Typical High $2,398.83 | Professional | None | $2,187.76 | $2,344.23 | $2,398.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $4,786.30 | Facility | None | $4,570.88 | $4,570.88 | $4,786.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,951.21 | Professional | None | $2,570.40 | $2,570.40 | $2,951.21 |
CareFirst Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,090.30 | Professional | None | $2,454.71 | $2,454.71 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $2,754.23 Typical High $2,754.23 | Facility | None | $1,949.84 | $2,754.23 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,754.23 | Professional | None | $1,995.26 | $1,995.26 | $2,754.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,162.28 Median $4,570.88 Typical High $5,888.44 | Professional | None | $3,162.28 | $4,570.88 | $5,888.44 |
Medcost Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,090.30 | Professional | None | $3,019.95 | $3,019.95 | $3,090.30 |
Medcost Setting Facility Modifier None Typical Low $1,479.11 Median $2,454.71 Typical High $2,951.21 | Facility | None | $1,479.11 | $2,454.71 | $2,951.21 |
Medcost Setting Professional Modifier None Typical Low $2,454.71 Median $2,754.23 Typical High $3,090.30 | Professional | None | $2,454.71 | $2,754.23 | $3,090.30 |
Sentara Setting Facility Modifier None Typical Low $2,187.76 Median $3,311.31 Typical High $8,709.64 | Facility | None | $2,187.76 | $3,311.31 | $8,709.64 |
Sentara Setting Professional Modifier None Typical Low $2,454.71 Median $3,388.44 Typical High $6,918.31 | Professional | None | $2,454.71 | $3,388.44 | $6,918.31 |
United Setting Facility Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $6,918.31 | Facility | None | $5,754.40 | $5,754.40 | $6,918.31 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $2,238.72 Typical High $3,311.31 | Professional | None | $2,089.30 | $2,238.72 | $3,311.31 |
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 $263.03 Median $263.03 Typical High $323.59 | Professional | RR · Rental | $263.03 | $263.03 | $323.59 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,949.84 Median $1,995.26 Typical High $2,089.30 | Professional | UE · Used equipment | $1,949.84 | $1,995.26 | $2,089.30 |
Where Virginia sits
The same service costs 2.5 times more in Arkansas 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· 37th of 51
$2,570
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.