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 $23.44 Median $38.90 Typical High $56.23 | Facility | None | $23.44 | $38.90 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $35.48 Typical High $54.95 | Professional | None | $21.38 | $35.48 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $46.77 Typical High $67.61 | Professional | None | $33.88 | $46.77 | $67.61 |
CareFirst Setting Professional Modifier None Typical Low $28.84 Median $30.20 Typical High $31.62 | Professional | None | $28.84 | $30.20 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $147.91 Typical High $204.17 | Facility | None | $120.23 | $147.91 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $42.66 Typical High $56.23 | Professional | None | $30.20 | $42.66 | $56.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $50.12 Median $67.61 Typical High $87.10 | Professional | None | $50.12 | $67.61 | $87.10 |
Medcost Setting Professional Modifier None Typical Low $36.31 Median $45.71 Typical High $56.23 | Professional | None | $36.31 | $45.71 | $56.23 |
Medcost Setting Facility Modifier None Typical Low $30.20 Median $50.12 Typical High $81.28 | Facility | None | $30.20 | $50.12 | $81.28 |
Medcost Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $60.26 | Professional | None | $30.20 | $30.20 | $60.26 |
Sentara Setting Facility Modifier None Typical Low $23.44 Median $33.88 Typical High $223.87 | Facility | None | $23.44 | $33.88 | $223.87 |
Sentara Setting Professional Modifier None Typical Low $39.81 Median $47.86 Typical High $70.79 | Professional | None | $39.81 | $47.86 | $70.79 |
United Setting Professional Modifier None Typical Low $19.50 Median $34.67 Typical High $57.54 | Professional | None | $19.50 | $34.67 | $57.54 |
3 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 $12.59 Median $17.78 Typical High $27.54 | Professional | 52 · Reduced service | $12.59 | $17.78 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $5.37 Typical High $8.32 | Professional | 55 · Aftercare only | $3.80 | $5.37 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $3.55 Typical High $5.62 | Professional | 56 · Pre-op care only | $2.51 | $3.55 | $5.62 |
Where Virginia sits
The same service costs 2.4 times more in Alaska than in New Jersey. 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· 32nd of 51
$41.69
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.