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 $9.77 Median $10.72 Typical High $22.91 | Facility | None | $9.77 | $10.72 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $15.85 Typical High $22.91 | Professional | None | $9.77 | $15.85 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $16.60 Typical High $23.44 | Professional | None | $8.32 | $16.60 | $23.44 |
CareFirst Setting Professional Modifier None Typical Low $8.32 Median $11.22 Typical High $758.58 | Professional | None | $8.32 | $11.22 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $17.38 Typical High $26.92 | Professional | None | $8.91 | $17.38 | $26.92 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.59 Median $21.88 Typical High $26.92 | Professional | None | $7.59 | $21.88 | $26.92 |
Medcost Setting Professional Modifier None Typical Low $22.39 Median $28.18 Typical High $28.18 | Professional | None | $22.39 | $28.18 | $28.18 |
Medcost Setting Facility Modifier None Typical Low $9.77 Median $16.22 Typical High $30.20 | Facility | None | $9.77 | $16.22 | $30.20 |
Medcost Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Sentara Setting Facility Modifier None Typical Low $7.59 Median $14.13 Typical High $10,232.93 | Facility | None | $7.59 | $14.13 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $16.98 Median $23.99 Typical High $74.13 | Professional | None | $16.98 | $23.99 | $74.13 |
United Setting Professional Modifier None Typical Low $8.71 Median $15.85 Typical High $29.51 | Professional | None | $8.71 | $15.85 | $29.51 |
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 $4.90 Median $7.76 Typical High $11.22 | Professional | 52 · Reduced service | $4.90 | $7.76 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $3.09 Typical High $4.57 | Professional | 53 · Discontinued | $1.95 | $3.09 | $4.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.48 Median $2.29 Typical High $3.39 | Professional | 55 · Aftercare only | $1.48 | $2.29 | $3.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.98 Median $1.55 Typical High $2.29 | Professional | 56 · Pre-op care only | $0.98 | $1.55 | $2.29 |
Where Virginia sits
The same service costs 3.2 times more in Wisconsin than in Nebraska. 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
$16.98
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.