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 $58.88 Median $79.43 Typical High $100.00 | Facility | None | $58.88 | $79.43 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $85.11 Typical High $151.36 | Professional | None | $63.10 | $85.11 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $91.20 Median $109.65 Typical High $134.90 | Professional | None | $91.20 | $109.65 | $134.90 |
CareFirst Setting Professional Modifier None Typical Low $81.28 Median $85.11 Typical High $107.15 | Professional | None | $81.28 | $85.11 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $89.13 Typical High $190.55 | Professional | None | $70.79 | $89.13 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $72.44 Median $89.13 Typical High $173.78 | Professional | None | $72.44 | $89.13 | $173.78 |
Medcost Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $147.91 | Professional | None | $93.33 | $93.33 | $147.91 |
Medcost Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $181.97 | Facility | None | $131.83 | $131.83 | $181.97 |
Medcost Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $102.33 | Professional | None | $70.79 | $70.79 | $102.33 |
Sentara Setting Facility Modifier None Typical Low $64.57 Median $131.83 Typical High $10,232.93 | Facility | None | $64.57 | $131.83 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $74.13 Median $107.15 Typical High $229.09 | Professional | None | $74.13 | $107.15 | $229.09 |
United Setting Professional Modifier None Typical Low $72.44 Median $93.33 Typical High $186.21 | Professional | None | $72.44 | $93.33 | $186.21 |
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 $38.90 Median $48.98 Typical High $50.12 | Professional | 52 · Reduced service | $38.90 | $48.98 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $14.79 Typical High $15.14 | Professional | 55 · Aftercare only | $11.75 | $14.79 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $9.77 Typical High $10.00 | Professional | 56 · Pre-op care only | $7.94 | $9.77 | $10.00 |
Where Virginia sits
The same service costs 2.3 times more in Alaska than in Alabama. 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· 33rd of 51
$102
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.