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 $107.15 Median $109.65 Typical High $147.91 | Facility | None | $107.15 | $109.65 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $138.04 Typical High $190.55 | Professional | None | $107.15 | $138.04 | $190.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $109.65 Median $138.04 Typical High $177.83 | Professional | None | $109.65 | $138.04 | $177.83 |
CareFirst Setting Professional Modifier None Typical Low $91.20 Median $95.50 Typical High $109.65 | Professional | None | $91.20 | $95.50 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $131.83 Typical High $181.97 | Professional | None | $95.50 | $131.83 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $173.78 Typical High $223.87 | Professional | None | $138.04 | $173.78 | $223.87 |
Medcost Setting Professional Modifier None Typical Low $131.83 Median $165.96 Typical High $194.98 | Professional | None | $131.83 | $165.96 | $194.98 |
Medcost Setting Facility Modifier None Typical Low $109.65 Median $162.18 Typical High $275.42 | Facility | None | $109.65 | $162.18 | $275.42 |
Medcost Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $134.90 | Professional | None | $79.43 | $79.43 | $134.90 |
Sentara Setting Facility Modifier None Typical Low $97.72 Median $144.54 Typical High $776.25 | Facility | None | $97.72 | $144.54 | $776.25 |
Sentara Setting Professional Modifier None Typical Low $134.90 Median $158.49 Typical High $208.93 | Professional | None | $134.90 | $158.49 | $208.93 |
United Setting Professional Modifier None Typical Low $85.11 Median $123.03 Typical High $194.98 | Professional | None | $85.11 | $123.03 | $194.98 |
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 $53.70 Median $57.54 Typical High $74.13 | Professional | 52 · Reduced service | $53.70 | $57.54 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $17.38 Typical High $22.39 | Professional | 55 · Aftercare only | $15.85 | $17.38 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $11.48 Typical High $14.79 | Professional | 56 · Pre-op care only | $10.72 | $11.48 | $14.79 |
Where Virginia sits
The same service costs 2.7 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
$135
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.