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 $3,715.35 Median $3,715.35 Typical High $3,801.89 | Facility | None | $3,715.35 | $3,715.35 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $3,630.78 Median $3,715.35 Typical High $3,801.89 | Professional | None | $3,630.78 | $3,715.35 | $3,801.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $8,317.64 Median $8,317.64 Typical High $9,549.93 | Professional | None | $8,317.64 | $8,317.64 | $9,549.93 |
CareFirst Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,897.79 | Professional | None | $4,265.80 | $4,265.80 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $4,073.80 Typical High $4,073.80 | Facility | None | $2,691.53 | $4,073.80 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,073.80 | Professional | None | $3,467.37 | $3,467.37 | $4,073.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,011.87 Median $7,244.36 Typical High $9,332.54 | Professional | None | $5,011.87 | $7,244.36 | $9,332.54 |
Medcost Setting Professional Modifier None Typical Low $3,630.78 Median $4,677.35 Typical High $6,606.93 | Professional | None | $3,630.78 | $4,677.35 | $6,606.93 |
Medcost Setting Facility Modifier None Typical Low $2,290.87 Median $3,890.45 Typical High $4,677.35 | Facility | None | $2,290.87 | $3,890.45 | $4,677.35 |
Medcost Setting Professional Modifier None Typical Low $3,890.45 Median $4,365.16 Typical High $5,128.61 | Professional | None | $3,890.45 | $4,365.16 | $5,128.61 |
Sentara Setting Facility Modifier None Typical Low $3,467.37 Median $4,897.79 Typical High $10,964.78 | Facility | None | $3,467.37 | $4,897.79 | $10,964.78 |
Sentara Setting Professional Modifier None Typical Low $3,890.45 Median $5,248.07 Typical High $9,549.93 | Professional | None | $3,890.45 | $5,248.07 | $9,549.93 |
United Setting Professional Modifier None Typical Low $3,235.94 Median $3,548.13 Typical High $5,248.07 | Professional | None | $3,235.94 | $3,548.13 | $5,248.07 |
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 $234.42 Median $512.86 Typical High $602.56 | Professional | RR · Rental | $234.42 | $512.86 | $602.56 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,737.80 Median $3,890.45 Typical High $4,466.84 | Professional | UE · Used equipment | $1,737.80 | $3,890.45 | $4,466.84 |
Where Virginia sits
The same service costs 2.7 times more in Montana than in New York. 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· 21st of 51
$4,677
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.