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 $20.42 Median $20.42 Typical High $20.89 | Facility | None | $20.42 | $20.42 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $20.42 Typical High $20.89 | Professional | None | $17.78 | $20.42 | $20.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.62 Median $21.88 Typical High $26.92 | Professional | None | $18.62 | $21.88 | $26.92 |
CareFirst Setting Professional Modifier None Typical Low $26.92 Median $30.20 Typical High $30.20 | Professional | None | $26.92 | $30.20 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $34.67 Typical High $38.90 | Professional | None | $20.89 | $34.67 | $38.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.38 Median $29.51 Typical High $31.62 | Professional | None | $21.38 | $29.51 | $31.62 |
Medcost Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $31.62 | Facility | None | $30.90 | $30.90 | $31.62 |
Sentara Setting Facility Modifier None Typical Low $19.05 Median $30.20 Typical High $10,232.93 | Facility | None | $19.05 | $30.20 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $19.05 Median $31.62 Typical High $10,232.93 | Professional | None | $19.05 | $31.62 | $10,232.93 |
United Setting Professional Modifier None Typical Low $17.38 Median $28.18 Typical High $51.29 | Professional | None | $17.38 | $28.18 | $51.29 |
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 $8.91 Median $10.23 Typical High $10.47 | Professional | 52 · Reduced service | $8.91 | $10.23 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $4.07 Typical High $4.17 | Professional | 53 · Discontinued | $3.55 | $4.07 | $4.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $3.09 Typical High $3.09 | Professional | 55 · Aftercare only | $2.69 | $3.09 | $3.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $2.04 Typical High $2.09 | Professional | 56 · Pre-op care only | $1.78 | $2.04 | $2.09 |
Where Virginia sits
The same service costs 4.3 times more in Alaska than in New York. 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
$23.99
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.