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 $28.84 Median $38.90 Typical High $46.77 | Facility | None | $28.84 | $38.90 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $39.81 Typical High $74.13 | Professional | None | $28.84 | $39.81 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $34.67 Median $42.66 Typical High $52.48 | Professional | None | $34.67 | $42.66 | $52.48 |
CareFirst Setting Professional Modifier None Typical Low $41.69 Median $43.65 Typical High $54.95 | Professional | None | $41.69 | $43.65 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $47.86 Typical High $77.62 | Professional | None | $41.69 | $47.86 | $77.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $43.65 Median $52.48 Typical High $70.79 | Professional | None | $43.65 | $52.48 | $70.79 |
Medcost Setting Professional Modifier None Typical Low $33.88 Median $46.77 Typical High $69.18 | Professional | None | $33.88 | $46.77 | $69.18 |
Medcost Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $70.79 | Facility | None | $53.70 | $53.70 | $70.79 |
Medcost Setting Professional Modifier None Typical Low $41.69 Median $43.65 Typical High $44.67 | Professional | None | $41.69 | $43.65 | $44.67 |
Sentara Setting Facility Modifier None Typical Low $30.90 Median $53.70 Typical High $10,232.93 | Facility | None | $30.90 | $53.70 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $37.15 Median $46.77 Typical High $89.13 | Professional | None | $37.15 | $46.77 | $89.13 |
United Setting Professional Modifier None Typical Low $31.62 Median $46.77 Typical High $75.86 | Professional | None | $31.62 | $46.77 | $75.86 |
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 $19.05 Median $19.50 Typical High $23.44 | Professional | 52 · Reduced service | $19.05 | $19.50 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $5.89 Typical High $7.08 | Professional | 55 · Aftercare only | $5.62 | $5.89 | $7.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $3.89 Typical High $4.68 | Professional | 56 · Pre-op care only | $3.80 | $3.89 | $4.68 |
Where Virginia sits
The same service costs 2.7 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· 45th of 51
$43.65
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.