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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $213.80 Typical High $213.80 | Professional | None | $204.17 | $213.80 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $436.52 | Facility | None | $416.87 | $416.87 | $436.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $281.84 | Professional | None | $251.19 | $251.19 | $281.84 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $25.70 Median $25.70 Typical High $29.51 | Professional | RR · Rental | $25.70 | $25.70 | $29.51 |
CareFirst Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $281.84 | Professional | None | $245.47 | $245.47 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $269.15 Typical High $269.15 | Facility | None | $177.83 | $269.15 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $269.15 | Professional | None | $194.98 | $194.98 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $416.87 Typical High $537.03 | Professional | None | $288.40 | $416.87 | $537.03 |
Medcost Setting Professional Modifier None Typical Low $208.93 Median $275.42 Typical High $275.42 | Professional | None | $208.93 | $275.42 | $275.42 |
Medcost Setting Facility Modifier None Typical Low $131.83 Median $223.87 Typical High $269.15 | Facility | None | $131.83 | $223.87 | $269.15 |
Medcost Setting Professional Modifier None Typical Low $223.87 Median $251.19 Typical High $302.00 | Professional | None | $223.87 | $251.19 | $302.00 |
Sentara Setting Facility Modifier None Typical Low $194.98 Median $309.03 Typical High $1,479.11 | Facility | None | $194.98 | $309.03 | $1,479.11 |
Sentara Setting Professional Modifier None Typical Low $208.93 Median $323.59 Typical High $676.08 | Professional | None | $208.93 | $323.59 | $676.08 |
United Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $602.56 | Facility | None | $501.19 | $501.19 | $602.56 |
United Setting Professional Modifier None Typical Low $186.21 Median $199.53 Typical High $302.00 | Professional | None | $186.21 | $199.53 | $302.00 |
1 more rate 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 UE · Used equipment Typical Low $186.21 Median $190.55 Typical High $199.53 | Professional | UE · Used equipment | $186.21 | $190.55 | $199.53 |
Where Virginia sits
The same service costs 2.6 times more in Kansas 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· 36th of 51
$251
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.