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 $204.17 Median $204.17 Typical High $208.93 | Facility | None | $204.17 | $204.17 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $208.93 | Professional | None | $204.17 | $204.17 | $208.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $416.87 | Facility | None | $398.11 | $398.11 | $416.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $302.00 | Professional | None | $257.04 | $257.04 | $302.00 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | RR · Rental | $25.70 | $25.70 | $30.20 |
CareFirst Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $275.42 Typical High $275.42 | Facility | None | $181.97 | $275.42 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $275.42 | Professional | None | $204.17 | $204.17 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $398.11 Typical High $512.86 | Professional | None | $275.42 | $398.11 | $512.86 |
Medcost Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $288.40 | Facility | None | $213.80 | $213.80 | $288.40 |
Medcost Setting Professional Modifier None Typical Low $213.80 Median $239.88 Typical High $295.12 | Professional | None | $213.80 | $239.88 | $295.12 |
Sentara Setting Facility Modifier None Typical Low $162.18 Median $302.00 Typical High $645.65 | Facility | None | $162.18 | $302.00 | $645.65 |
Sentara Setting Professional Modifier None Typical Low $190.55 Median $309.03 Typical High $602.56 | Professional | None | $190.55 | $309.03 | $602.56 |
United Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $616.60 | Facility | None | $512.86 | $512.86 | $616.60 |
United Setting Professional Modifier None Typical Low $181.97 Median $194.98 Typical High $323.59 | Professional | None | $181.97 | $194.98 | $323.59 |
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 $194.98 Median $194.98 Typical High $208.93 | Professional | UE · Used equipment | $194.98 | $194.98 | $208.93 |
Where Virginia sits
The same service costs 2.5 times more in Hawaii 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· 30th of 51
$257
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.