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 $10.23 Median $10.23 Typical High $10.47 | Facility | None | $10.23 | $10.23 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $10.23 Typical High $10.47 | Professional | None | $9.77 | $10.23 | $10.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $21.38 | Facility | None | $19.95 | $19.95 | $21.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $13.49 | Professional | None | $10.96 | $10.96 | $13.49 |
CareFirst Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $13.80 | Professional | None | $11.48 | $11.48 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $11.22 Typical High $11.22 | Facility | None | $7.41 | $11.22 | $11.22 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $11.22 | Professional | None | $9.55 | $9.55 | $11.22 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.13 Median $19.95 Typical High $25.70 | Professional | None | $14.13 | $19.95 | $25.70 |
Medcost Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.80 | Professional | None | $13.18 | $13.18 | $13.80 |
Medcost Setting Facility Modifier None Typical Low $6.31 Median $10.72 Typical High $13.18 | Facility | None | $6.31 | $10.72 | $13.18 |
Medcost Setting Professional Modifier None Typical Low $10.72 Median $12.02 Typical High $14.79 | Professional | None | $10.72 | $12.02 | $14.79 |
Sentara Setting Facility Modifier None Typical Low $9.77 Median $14.45 Typical High $42.66 | Facility | None | $9.77 | $14.45 | $42.66 |
Sentara Setting Professional Modifier None Typical Low $10.72 Median $14.79 Typical High $30.20 | Professional | None | $10.72 | $14.79 | $30.20 |
United Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $29.51 | Facility | None | $24.55 | $24.55 | $29.51 |
United Setting Professional Modifier None Typical Low $8.91 Median $9.77 Typical High $14.79 | Professional | None | $8.91 | $9.77 | $14.79 |
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 $1.10 Median $1.10 Typical High $1.41 | Professional | RR · Rental | $1.10 | $1.10 | $1.41 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $8.32 Median $8.32 Typical High $8.91 | Professional | UE · Used equipment | $8.32 | $8.32 | $8.91 |
Where Virginia sits
The same service costs 2.3 times more in Montana than in Hawaii. 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· 38th of 51
$10.96
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.