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 $67.61 Median $69.18 Typical High $85.11 | Facility | None | $67.61 | $69.18 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $85.11 | Professional | None | $67.61 | $79.43 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $67.61 Median $85.11 Typical High $104.71 | Professional | None | $67.61 | $85.11 | $104.71 |
CareFirst Setting Professional Modifier None Typical Low $56.23 Median $60.26 Typical High $67.61 | Professional | None | $56.23 | $60.26 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $74.13 Typical High $117.49 | Professional | None | $60.26 | $74.13 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $77.62 Median $97.72 Typical High $128.82 | Professional | None | $77.62 | $97.72 | $128.82 |
Medcost Setting Professional Modifier None Typical Low $93.33 Median $114.82 Typical High $134.90 | Professional | None | $93.33 | $114.82 | $134.90 |
Medcost Setting Facility Modifier None Typical Low $69.18 Median $104.71 Typical High $162.18 | Facility | None | $69.18 | $104.71 | $162.18 |
Medcost Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $109.65 | Professional | None | $60.26 | $60.26 | $109.65 |
Sentara Setting Facility Modifier None Typical Low $70.79 Median $100.00 Typical High $446.68 | Facility | None | $70.79 | $100.00 | $446.68 |
Sentara Setting Professional Modifier None Typical Low $89.13 Median $107.15 Typical High $131.83 | Professional | None | $89.13 | $107.15 | $131.83 |
United Setting Professional Modifier None Typical Low $60.26 Median $75.86 Typical High $125.89 | Professional | None | $60.26 | $75.86 | $125.89 |
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 $33.88 Median $36.31 Typical High $42.66 | Professional | 52 · Reduced service | $33.88 | $36.31 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.96 Typical High $12.88 | Professional | 55 · Aftercare only | $10.00 | $10.96 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $7.24 Typical High $8.51 | Professional | 56 · Pre-op care only | $6.76 | $7.24 | $8.51 |
Where Virginia sits
The same service costs 2.9 times more in Alaska than in Florida. 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· 34th of 51
$81.28
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.