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 $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $24.55 Typical High $24.55 | Professional | None | $22.91 | $24.55 | $24.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $50.12 | Facility | None | $46.77 | $46.77 | $50.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $24.55 Median $33.88 Typical High $47.86 | Professional | None | $24.55 | $33.88 | $47.86 |
CareFirst Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $32.36 | Professional | None | $24.55 | $24.55 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $30.90 Typical High $30.90 | Facility | None | $20.42 | $30.90 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $30.90 | Professional | None | $22.39 | $22.39 | $30.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $46.77 Typical High $61.66 | Professional | None | $33.11 | $46.77 | $61.66 |
Medcost Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $31.62 | Facility | None | $25.12 | $25.12 | $31.62 |
Medcost Setting Professional Modifier None Typical Low $25.12 Median $28.84 Typical High $35.48 | Professional | None | $25.12 | $28.84 | $35.48 |
Sentara Setting Facility Modifier None Typical Low $19.05 Median $35.48 Typical High $75.86 | Facility | None | $19.05 | $35.48 | $75.86 |
Sentara Setting Professional Modifier None Typical Low $25.12 Median $36.31 Typical High $67.61 | Professional | None | $25.12 | $36.31 | $67.61 |
United Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $69.18 | Facility | None | $57.54 | $57.54 | $69.18 |
United Setting Professional Modifier None Typical Low $20.89 Median $22.91 Typical High $38.02 | Professional | None | $20.89 | $22.91 | $38.02 |
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 $2.88 Median $2.88 Typical High $3.39 | Professional | RR · Rental | $2.88 | $2.88 | $3.39 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $21.38 Median $21.38 Typical High $23.44 | Professional | UE · Used equipment | $21.38 | $21.38 | $23.44 |
Where Virginia sits
The same service costs 2.2 times more in Montana than in Vermont. 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· 41st of 51
$26.92
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.