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 $501.19 Median $501.19 Typical High $512.86 | Facility | None | $501.19 | $501.19 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $501.19 Typical High $512.86 | Professional | None | $489.78 | $501.19 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $1,023.29 | Facility | None | $977.24 | $977.24 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,202.26 | Professional | None | $1,047.13 | $1,047.13 | $1,202.26 |
CareFirst Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $660.69 | Professional | None | $575.44 | $575.44 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $512.86 Typical High $512.86 | Facility | None | $338.84 | $512.86 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $512.86 | Professional | None | $436.52 | $436.52 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $977.24 Typical High $1,258.93 | Professional | None | $676.08 | $977.24 | $1,258.93 |
Medcost Setting Professional Modifier None Typical Low $467.74 Median $630.96 Typical High $891.25 | Professional | None | $467.74 | $630.96 | $891.25 |
Medcost Setting Facility Modifier None Typical Low $288.40 Median $524.81 Typical High $630.96 | Facility | None | $288.40 | $524.81 | $630.96 |
Medcost Setting Professional Modifier None Typical Low $501.19 Median $524.81 Typical High $630.96 | Professional | None | $501.19 | $524.81 | $630.96 |
Sentara Setting Facility Modifier None Typical Low $478.63 Median $691.83 Typical High $2,089.30 | Facility | None | $478.63 | $691.83 | $2,089.30 |
Sentara Setting Professional Modifier None Typical Low $524.81 Median $707.95 Typical High $1,479.11 | Professional | None | $524.81 | $707.95 | $1,479.11 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,348.96 | Facility | None | $1,122.02 | $1,122.02 | $1,348.96 |
United Setting Professional Modifier None Typical Low $426.58 Median $478.63 Typical High $724.44 | Professional | None | $426.58 | $478.63 | $724.44 |
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 $29.51 Median $66.07 Typical High $69.18 | Professional | RR · Rental | $29.51 | $66.07 | $69.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $218.78 Median $489.78 Typical High $524.81 | Professional | UE · Used equipment | $218.78 | $489.78 | $524.81 |
Where Virginia sits
The same service costs 3.0 times more in Wisconsin 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· 17th of 51
$646
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.