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 $776.25 Median $776.25 Typical High $831.76 | Facility | None | $776.25 | $776.25 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $794.33 Typical High $831.76 | Professional | None | $776.25 | $794.33 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $645.65 Median $758.58 Typical High $831.76 | Professional | None | $645.65 | $758.58 | $831.76 |
CareFirst Setting Professional Modifier None Typical Low $478.63 Median $537.03 Typical High $616.60 | Professional | None | $478.63 | $537.03 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,041.74 | Facility | None | $1,778.28 | $1,778.28 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $1,122.02 | Professional | None | $741.31 | $870.96 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $977.24 Typical High $1,258.93 | Professional | None | $851.14 | $977.24 | $1,258.93 |
Medcost Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,174.90 | Facility | None | $1,000.00 | $1,000.00 | $1,174.90 |
Medcost Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $794.33 | Professional | None | $436.52 | $436.52 | $794.33 |
Sentara Setting Facility Modifier None Typical Low $630.96 Median $1,047.13 Typical High $10,232.93 | Facility | None | $630.96 | $1,047.13 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $741.31 Median $831.76 Typical High $1,202.26 | Professional | None | $741.31 | $831.76 | $1,202.26 |
United Setting Professional Modifier None Typical Low $380.19 Median $575.44 Typical High $1,000.00 | Professional | None | $380.19 | $575.44 | $1,000.00 |
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 $389.05 Median $398.11 Typical High $416.87 | Professional | 52 · Reduced service | $389.05 | $398.11 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $158.49 Typical High $165.96 | Professional | 53 · Discontinued | $154.88 | $158.49 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $120.23 Typical High $123.03 | Professional | 55 · Aftercare only | $114.82 | $120.23 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $79.43 Typical High $83.18 | Professional | 56 · Pre-op care only | $77.62 | $79.43 | $83.18 |
Where Virginia sits
The same service costs 3.5 times more in Alaska than in Arkansas. 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· 36th of 51
$759
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.