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 $51.29 Median $69.18 Typical High $125.89 | Facility | None | $51.29 | $69.18 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $83.18 Typical High $125.89 | Professional | None | $51.29 | $83.18 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $56.23 Median $89.13 Typical High $131.83 | Professional | None | $56.23 | $89.13 | $131.83 |
CareFirst Setting Professional Modifier None Typical Low $48.98 Median $53.70 Typical High $53.70 | Professional | None | $48.98 | $53.70 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $70.79 Typical High $97.72 | Professional | None | $42.66 | $70.79 | $97.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $97.72 Median $107.15 Typical High $138.04 | Professional | None | $97.72 | $107.15 | $138.04 |
Medcost Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $131.83 | Professional | None | $123.03 | $123.03 | $131.83 |
Medcost Setting Facility Modifier None Typical Low $85.11 Median $109.65 Typical High $177.83 | Facility | None | $85.11 | $109.65 | $177.83 |
Medcost Setting Professional Modifier None Typical Low $60.26 Median $93.33 Typical High $158.49 | Professional | None | $60.26 | $93.33 | $158.49 |
Sentara Setting Facility Modifier None Typical Low $42.66 Median $79.43 Typical High $10,232.93 | Facility | None | $42.66 | $79.43 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $66.07 Median $97.72 Typical High $123.03 | Professional | None | $66.07 | $97.72 | $123.03 |
United Setting Professional Modifier None Typical Low $38.90 Median $60.26 Typical High $87.10 | Professional | None | $38.90 | $60.26 | $87.10 |
5 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 $25.70 Median $36.31 Typical High $63.10 | Professional | 52 · Reduced service | $25.70 | $36.31 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $14.45 Typical High $25.12 | Professional | 53 · Discontinued | $10.23 | $14.45 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $10.96 Typical High $19.05 | Professional | 55 · Aftercare only | $7.76 | $10.96 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $7.24 Typical High $12.59 | Professional | 56 · Pre-op care only | $5.13 | $7.24 | $12.59 |
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Virginia sits
The same service costs 3.0 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· 42nd of 51
$70.79
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.