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 $77.62 Median $81.28 Typical High $117.49 | Facility | None | $77.62 | $81.28 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $107.15 Typical High $147.91 | Professional | None | $77.62 | $107.15 | $147.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $109.65 Typical High $141.25 | Professional | None | $79.43 | $109.65 | $141.25 |
CareFirst Setting Professional Modifier None Typical Low $66.07 Median $70.79 Typical High $79.43 | Professional | None | $66.07 | $70.79 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $104.71 Typical High $141.25 | Professional | None | $70.79 | $104.71 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $138.04 Typical High $181.97 | Professional | None | $109.65 | $138.04 | $181.97 |
Medcost Setting Professional Modifier None Typical Low $102.33 Median $125.89 Typical High $151.36 | Professional | None | $102.33 | $125.89 | $151.36 |
Medcost Setting Facility Modifier None Typical Low $81.28 Median $125.89 Typical High $218.78 | Facility | None | $81.28 | $125.89 | $218.78 |
Medcost Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $107.15 | Professional | None | $64.57 | $64.57 | $107.15 |
Sentara Setting Facility Modifier None Typical Low $70.79 Median $104.71 Typical High $602.56 | Facility | None | $70.79 | $104.71 | $602.56 |
Sentara Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $165.96 | Professional | None | $104.71 | $123.03 | $165.96 |
United Setting Professional Modifier None Typical Low $61.66 Median $97.72 Typical High $151.36 | Professional | None | $61.66 | $97.72 | $151.36 |
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 $44.67 Typical High $58.88 | Professional | 52 · Reduced service | $38.90 | $44.67 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $13.49 Typical High $17.78 | Professional | 55 · Aftercare only | $11.75 | $13.49 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $8.91 Typical High $11.75 | Professional | 56 · Pre-op care only | $7.76 | $8.91 | $11.75 |
Where Virginia sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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· 35th of 51
$105
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.