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 $22.39 Median $23.44 Typical High $38.90 | Facility | None | $22.39 | $23.44 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $34.67 Typical High $43.65 | Professional | None | $22.39 | $34.67 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.39 Median $31.62 Typical High $45.71 | Professional | None | $22.39 | $31.62 | $45.71 |
CareFirst Setting Professional Modifier None Typical Low $19.05 Median $19.95 Typical High $22.39 | Professional | None | $19.05 | $19.95 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $33.88 Typical High $47.86 | Professional | None | $19.95 | $33.88 | $47.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $44.67 Typical High $57.54 | Professional | None | $33.88 | $44.67 | $57.54 |
Medcost Setting Professional Modifier None Typical Low $38.90 Median $47.86 Typical High $57.54 | Professional | None | $38.90 | $47.86 | $57.54 |
Medcost Setting Facility Modifier None Typical Low $23.44 Median $38.90 Typical High $70.79 | Facility | None | $23.44 | $38.90 | $70.79 |
Medcost Setting Professional Modifier None Typical Low $23.99 Median $25.12 Typical High $46.77 | Professional | None | $23.99 | $25.12 | $46.77 |
Sentara Setting Facility Modifier None Typical Low $23.44 Median $32.36 Typical High $199.53 | Facility | None | $23.44 | $32.36 | $199.53 |
Sentara Setting Professional Modifier None Typical Low $38.90 Median $45.71 Typical High $57.54 | Professional | None | $38.90 | $45.71 | $57.54 |
United Setting Professional Modifier None Typical Low $19.95 Median $31.62 Typical High $51.29 | Professional | None | $19.95 | $31.62 | $51.29 |
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 $10.96 Median $14.45 Typical High $19.50 | Professional | 52 · Reduced service | $10.96 | $14.45 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.31 Median $4.37 Typical High $5.89 | Professional | 55 · Aftercare only | $3.31 | $4.37 | $5.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $2.88 Typical High $3.89 | Professional | 56 · Pre-op care only | $2.24 | $2.88 | $3.89 |
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· 37th of 51
$32.36
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.