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 $69.18 Median $95.50 Typical High $141.25 | Facility | None | $69.18 | $95.50 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $95.50 Typical High $131.83 | Professional | None | $66.07 | $95.50 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $2,398.83 Typical High $2,951.21 | Facility | None | $1,698.24 | $2,398.83 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $58.88 Median $70.79 Typical High $85.11 | Professional | None | $58.88 | $70.79 | $85.11 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $89.13 Median $104.71 Typical High $128.82 | Professional | 50 · Both sides | $89.13 | $104.71 | $128.82 |
CareFirst Setting Professional Modifier None Typical Low $51.29 Median $56.23 Typical High $67.61 | Professional | None | $51.29 | $56.23 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $75.86 Typical High $131.83 | Facility | None | $50.12 | $75.86 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $87.10 Typical High $125.89 | Professional | None | $61.66 | $87.10 | $125.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $95.50 Median $114.82 Typical High $144.54 | Professional | None | $95.50 | $114.82 | $144.54 |
Medcost Setting Professional Modifier None Typical Low $104.71 Median $131.83 Typical High $131.83 | Professional | None | $104.71 | $131.83 | $131.83 |
Medcost Setting Facility Modifier None Typical Low $69.18 Median $95.50 Typical High $158.49 | Facility | None | $69.18 | $95.50 | $158.49 |
Medcost Setting Professional Modifier None Typical Low $70.79 Median $75.86 Typical High $102.33 | Professional | None | $70.79 | $75.86 | $102.33 |
Sentara Setting Facility Modifier None Typical Low $53.70 Median $371.54 Typical High $2,454.71 | Facility | None | $53.70 | $371.54 | $2,454.71 |
Sentara Setting Professional Modifier None Typical Low $61.66 Median $104.71 Typical High $208.93 | Professional | None | $61.66 | $104.71 | $208.93 |
United Setting Facility Modifier None Typical Low $100.00 Median $660.69 Typical High $2,041.74 | Facility | None | $100.00 | $660.69 | $2,041.74 |
United Setting Professional Modifier None Typical Low $45.71 Median $75.86 Typical High $141.25 | Professional | None | $45.71 | $75.86 | $141.25 |
4 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $42.66 Typical High $47.86 | Professional | 52 · Reduced service | $33.11 | $42.66 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $16.98 Typical High $19.05 | Professional | 53 · Discontinued | $13.18 | $16.98 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $12.59 Typical High $14.45 | Professional | 55 · Aftercare only | $10.00 | $12.59 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $8.51 Typical High $9.55 | Professional | 56 · Pre-op care only | $6.61 | $8.51 | $9.55 |
Where Virginia sits
The same service costs 3.7 times more in Alaska 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· 48th of 51
$75.86
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.