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 $16.60 Median $16.60 Typical High $19.05 | Facility | None | $16.60 | $16.60 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $17.38 Typical High $19.05 | Professional | None | $16.60 | $17.38 | $19.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.22 Median $19.05 Typical High $22.91 | Professional | None | $16.22 | $19.05 | $22.91 |
CareFirst Setting Professional Modifier None Typical Low $18.20 Median $19.95 Typical High $22.91 | Professional | None | $18.20 | $19.95 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $53.70 | Facility | None | $46.77 | $46.77 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $17.38 Typical High $28.18 | Professional | None | $16.98 | $17.38 | $28.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.20 Median $19.95 Typical High $28.18 | Professional | None | $18.20 | $19.95 | $28.18 |
Medcost Setting Professional Modifier None Typical Low $23.44 Median $29.51 Typical High $29.51 | Professional | None | $23.44 | $29.51 | $29.51 |
Medcost Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $33.11 | Facility | None | $28.18 | $28.18 | $33.11 |
Medcost Setting Professional Modifier None Typical Low $18.62 Median $21.38 Typical High $22.39 | Professional | None | $18.62 | $21.38 | $22.39 |
Sentara Setting Facility Modifier None Typical Low $15.49 Median $23.44 Typical High $10,232.93 | Facility | None | $15.49 | $23.44 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $17.78 Median $21.88 Typical High $27.54 | Professional | None | $17.78 | $21.88 | $27.54 |
United Setting Professional Modifier None Typical Low $14.79 Median $17.78 Typical High $30.90 | Professional | None | $14.79 | $17.78 | $30.90 |
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 $8.13 Median $8.71 Typical High $9.55 | Professional | 52 · Reduced service | $8.13 | $8.71 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.47 Typical High $3.80 | Professional | 53 · Discontinued | $3.31 | $3.47 | $3.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.45 Median $2.63 Typical High $2.88 | Professional | 55 · Aftercare only | $2.45 | $2.63 | $2.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $1.74 Typical High $1.91 | Professional | 56 · Pre-op care only | $1.62 | $1.74 | $1.91 |
Where Virginia sits
The same service costs 3.4 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· 34th of 51
$19.05
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.