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 $44.67 Median $46.77 Typical High $63.10 | Facility | None | $44.67 | $46.77 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $57.54 Typical High $63.10 | Professional | None | $44.67 | $57.54 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $45.71 Median $58.88 Typical High $75.86 | Professional | None | $45.71 | $58.88 | $75.86 |
CareFirst Setting Professional Modifier None Typical Low $38.02 Median $39.81 Typical High $45.71 | Professional | None | $38.02 | $39.81 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $54.95 Typical High $83.18 | Professional | None | $39.81 | $54.95 | $83.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $57.54 Median $72.44 Typical High $93.33 | Professional | None | $57.54 | $72.44 | $93.33 |
Medcost Setting Professional Modifier None Typical Low $66.07 Median $83.18 Typical High $97.72 | Professional | None | $66.07 | $83.18 | $97.72 |
Medcost Setting Facility Modifier None Typical Low $46.77 Median $70.79 Typical High $117.49 | Facility | None | $46.77 | $70.79 | $117.49 |
Medcost Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $79.43 | Professional | None | $39.81 | $39.81 | $79.43 |
Sentara Setting Facility Modifier None Typical Low $46.77 Median $67.61 Typical High $323.59 | Facility | None | $46.77 | $67.61 | $323.59 |
Sentara Setting Professional Modifier None Typical Low $64.57 Median $77.62 Typical High $95.50 | Professional | None | $64.57 | $77.62 | $95.50 |
United Setting Professional Modifier None Typical Low $39.81 Median $53.70 Typical High $89.13 | Professional | None | $39.81 | $53.70 | $89.13 |
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 $22.39 Median $25.12 Typical High $30.90 | Professional | 52 · Reduced service | $22.39 | $25.12 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $7.41 Typical High $9.33 | Professional | 55 · Aftercare only | $6.76 | $7.41 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $5.01 Typical High $6.31 | Professional | 56 · Pre-op care only | $4.47 | $5.01 | $6.31 |
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
$57.54
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.