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 $67.61 Median $69.18 Typical High $109.65 | Facility | None | $67.61 | $69.18 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $67.61 Typical High $69.18 | Professional | None | $64.57 | $67.61 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $138.04 | Facility | None | $131.83 | $131.83 | $138.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $251.19 | Professional | None | $234.42 | $234.42 | $251.19 |
CareFirst Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $89.13 | Professional | None | $72.44 | $72.44 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $104.71 Typical High $104.71 | Facility | None | $48.98 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $104.71 | Professional | None | $89.13 | $89.13 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $91.20 Median $131.83 Typical High $169.82 | Professional | None | $91.20 | $131.83 | $169.82 |
Medcost Setting Professional Modifier None Typical Low $77.62 Median $85.11 Typical High $120.23 | Professional | None | $77.62 | $85.11 | $120.23 |
Medcost Setting Facility Modifier None Typical Low $41.69 Median $70.79 Typical High $85.11 | Facility | None | $41.69 | $70.79 | $85.11 |
Medcost Setting Professional Modifier None Typical Low $70.79 Median $74.13 Typical High $85.11 | Professional | None | $70.79 | $74.13 | $85.11 |
Sentara Setting Facility Modifier None Typical Low $64.57 Median $93.33 Typical High $281.84 | Facility | None | $64.57 | $93.33 | $281.84 |
Sentara Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $199.53 | Professional | None | $70.79 | $97.72 | $199.53 |
United Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $190.55 | Facility | None | $158.49 | $158.49 | $190.55 |
United Setting Professional Modifier None Typical Low $58.88 Median $64.57 Typical High $97.72 | Professional | None | $58.88 | $64.57 | $97.72 |
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 $23.44 Median $23.44 Typical High $25.12 | Professional | RR · Rental | $23.44 | $23.44 | $25.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $151.36 Median $177.83 Typical High $177.83 | Professional | UE · Used equipment | $151.36 | $177.83 | $177.83 |
Where Virginia sits
The same service costs 2.0 times more in Montana than in Kentucky. 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· 22nd of 51
$102
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.