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 $53.70 Median $63.10 Typical High $74.13 | Facility | None | $53.70 | $63.10 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $72.44 Typical High $114.82 | Professional | None | $53.70 | $72.44 | $114.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $77.62 Typical High $95.50 | Professional | None | $64.57 | $77.62 | $95.50 |
CareFirst Setting Professional Modifier None Typical Low $67.61 Median $70.79 Typical High $89.13 | Professional | None | $67.61 | $70.79 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $77.62 Typical High $141.25 | Professional | None | $67.61 | $77.62 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $83.18 Typical High $123.03 | Professional | None | $69.18 | $83.18 | $123.03 |
Medcost Setting Professional Modifier None Typical Low $69.18 Median $77.62 Typical High $112.20 | Professional | None | $69.18 | $77.62 | $112.20 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $131.83 | Facility | None | $97.72 | $97.72 | $131.83 |
Medcost Setting Professional Modifier None Typical Low $52.48 Median $69.18 Typical High $75.86 | Professional | None | $52.48 | $69.18 | $75.86 |
Sentara Setting Facility Modifier None Typical Low $51.29 Median $93.33 Typical High $10,232.93 | Facility | None | $51.29 | $93.33 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $61.66 Median $79.43 Typical High $162.18 | Professional | None | $61.66 | $79.43 | $162.18 |
United Setting Professional Modifier None Typical Low $54.95 Median $77.62 Typical High $138.04 | Professional | None | $54.95 | $77.62 | $138.04 |
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 $34.67 Median $36.31 Typical High $37.15 | Professional | 52 · Reduced service | $34.67 | $36.31 | $37.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.72 Typical High $11.22 | Professional | 55 · Aftercare only | $10.23 | $10.72 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $7.24 Typical High $7.41 | Professional | 56 · Pre-op care only | $6.92 | $7.24 | $7.41 |
Where Virginia sits
The same service costs 2.4 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· 40th of 51
$74.13
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.