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 $63.10 Median $64.57 Typical High $97.72 | Facility | None | $63.10 | $64.57 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $120.23 | Professional | None | $63.10 | $89.13 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $117.49 | Professional | None | $63.10 | $89.13 | $117.49 |
CareFirst Setting Professional Modifier None Typical Low $53.70 Median $56.23 Typical High $66.07 | Professional | None | $53.70 | $56.23 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $85.11 Typical High $114.82 | Professional | None | $56.23 | $85.11 | $114.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $114.82 Typical High $147.91 | Professional | None | $89.13 | $114.82 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $74.13 Median $91.20 Typical High $109.65 | Professional | None | $74.13 | $91.20 | $109.65 |
Medcost Setting Facility Modifier None Typical Low $64.57 Median $100.00 Typical High $158.49 | Facility | None | $64.57 | $100.00 | $158.49 |
Medcost Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $83.18 | Professional | None | $39.81 | $39.81 | $83.18 |
Sentara Setting Facility Modifier None Typical Low $53.70 Median $83.18 Typical High $501.19 | Facility | None | $53.70 | $83.18 | $501.19 |
Sentara Setting Professional Modifier None Typical Low $75.86 Median $102.33 Typical High $134.90 | Professional | None | $75.86 | $102.33 | $134.90 |
United Setting Professional Modifier None Typical Low $46.77 Median $72.44 Typical High $120.23 | Professional | None | $46.77 | $72.44 | $120.23 |
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 $31.62 Median $37.15 Typical High $48.98 | Professional | 52 · Reduced service | $31.62 | $37.15 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $11.22 Typical High $14.79 | Professional | 55 · Aftercare only | $9.33 | $11.22 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $7.41 Typical High $9.77 | Professional | 56 · Pre-op care only | $6.31 | $7.41 | $9.77 |
Where Virginia sits
The same service costs 2.9 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· 32nd of 51
$85.11
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.