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 $39.81 Median $51.29 Typical High $128.82 | Facility | None | $39.81 | $51.29 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $69.18 Typical High $128.82 | Professional | None | $39.81 | $69.18 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $77.62 Typical High $128.82 | Professional | None | $41.69 | $77.62 | $128.82 |
CareFirst Setting Professional Modifier None Typical Low $36.31 Median $40.74 Typical High $40.74 | Professional | None | $36.31 | $40.74 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $72.44 Typical High $95.50 | Professional | None | $33.88 | $72.44 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $93.33 Median $102.33 Typical High $131.83 | Professional | None | $93.33 | $102.33 | $131.83 |
Medcost Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $109.65 | Professional | None | $104.71 | $104.71 | $109.65 |
Medcost Setting Facility Modifier None Typical Low $66.07 Median $85.11 Typical High $177.83 | Facility | None | $66.07 | $85.11 | $177.83 |
Medcost Setting Professional Modifier None Typical Low $79.43 Median $89.13 Typical High $89.13 | Professional | None | $79.43 | $89.13 | $89.13 |
Sentara Setting Facility Modifier None Typical Low $32.36 Median $61.66 Typical High $10,232.93 | Facility | None | $32.36 | $61.66 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $57.54 Median $95.50 Typical High $125.89 | Professional | None | $57.54 | $95.50 | $125.89 |
United Setting Facility Modifier None Typical Low $251.19 Median $275.42 Typical High $616.60 | Facility | None | $251.19 | $275.42 | $616.60 |
United Setting Professional Modifier None Typical Low $29.51 Median $48.98 Typical High $79.43 | Professional | None | $29.51 | $48.98 | $79.43 |
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 $19.95 Median $32.36 Typical High $64.57 | Professional | 52 · Reduced service | $19.95 | $32.36 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $12.88 Typical High $25.70 | Professional | 53 · Discontinued | $7.94 | $12.88 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $9.77 Typical High $19.05 | Professional | 55 · Aftercare only | $6.03 | $9.77 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $6.46 Typical High $12.88 | Professional | 56 · Pre-op care only | $3.98 | $6.46 | $12.88 |
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 2.5 times more in Alaska than in Washington, DC. 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· 43rd of 51
$60.26
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.