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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,187.76 | Facility | None | $2,089.30 | $2,089.30 | $2,187.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,754.23 | Professional | None | $2,570.40 | $2,570.40 | $2,754.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $257.04 Median $257.04 Typical High $275.42 | Professional | RR · Rental | $257.04 | $257.04 | $275.42 |
CareFirst Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $1,659.59 | Facility | None | $776.25 | $1,659.59 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,659.59 | Professional | None | $1,412.54 | $1,412.54 | $1,659.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,445.44 Median $2,089.30 Typical High $2,691.53 | Professional | None | $1,445.44 | $2,089.30 | $2,691.53 |
Medcost Setting Professional Modifier None Typical Low $2,089.30 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,089.30 | $2,137.96 | $2,137.96 |
Medcost Setting Facility Modifier None Typical Low $1,023.29 Median $1,737.80 Typical High $2,089.30 | Facility | None | $1,023.29 | $1,737.80 | $2,089.30 |
Medcost Setting Professional Modifier None Typical Low $1,258.93 Median $1,737.80 Typical High $2,454.71 | Professional | None | $1,258.93 | $1,737.80 | $2,454.71 |
Sentara Setting Facility Modifier None Typical Low $851.14 Median $1,862.09 Typical High $7,413.10 | Facility | None | $851.14 | $1,862.09 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $1,202.26 Median $2,041.74 Typical High $3,801.89 | Professional | None | $1,202.26 | $2,041.74 | $3,801.89 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Facility | None | $2,511.89 | $2,511.89 | $3,019.95 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,071.52 Typical High $2,238.72 | Professional | None | $1,000.00 | $1,071.52 | $2,238.72 |
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 $1,621.81 Median $1,905.46 Typical High $1,905.46 | Professional | UE · Used equipment | $1,621.81 | $1,905.46 | $1,905.46 |
Where Virginia sits
The same service costs 1.9 times more in Hawaii than in New Jersey. 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· 14th of 51
$2,089
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.