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 $79.43 Median $89.13 Typical High $120.23 | Facility | None | $79.43 | $89.13 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $102.33 Typical High $120.23 | Professional | None | $79.43 | $102.33 | $120.23 |
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 $72.44 Median $85.11 Typical High $102.33 | Professional | None | $72.44 | $85.11 | $102.33 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $107.15 Median $128.82 Typical High $154.88 | Professional | 50 · Both sides | $107.15 | $128.82 | $154.88 |
CareFirst Setting Professional Modifier None Typical Low $60.26 Median $67.61 Typical High $79.43 | Professional | None | $60.26 | $67.61 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $75.86 Typical High $134.90 | Facility | None | $50.12 | $75.86 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $154.88 | Professional | None | $74.13 | $104.71 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $138.04 Typical High $173.78 | Professional | None | $114.82 | $138.04 | $173.78 |
Medcost Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $162.18 | Professional | None | $128.82 | $162.18 | $162.18 |
Medcost Setting Facility Modifier None Typical Low $89.13 Median $120.23 Typical High $194.98 | Facility | None | $89.13 | $120.23 | $194.98 |
Medcost Setting Professional Modifier None Typical Low $43.65 Median $52.48 Typical High $123.03 | Professional | None | $43.65 | $52.48 | $123.03 |
Sentara Setting Facility Modifier None Typical Low $69.18 Median $371.54 Typical High $2,454.71 | Facility | None | $69.18 | $371.54 | $2,454.71 |
Sentara Setting Professional Modifier None Typical Low $75.86 Median $120.23 Typical High $257.04 | Professional | None | $75.86 | $120.23 | $257.04 |
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 $58.88 Median $89.13 Typical High $173.78 | Professional | None | $58.88 | $89.13 | $173.78 |
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 $39.81 Median $51.29 Typical High $60.26 | Professional | 52 · Reduced service | $39.81 | $51.29 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $20.42 Typical High $23.99 | Professional | 53 · Discontinued | $15.85 | $20.42 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $15.49 Typical High $17.78 | Professional | 55 · Aftercare only | $11.75 | $15.49 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $10.23 Typical High $12.02 | Professional | 56 · Pre-op care only | $7.94 | $10.23 | $12.02 |
Where Virginia sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 46th of 51
$91.20
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.