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 $10.96 Median $10.96 Typical High $12.02 | Facility | None | $10.96 | $10.96 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $12.02 | Professional | None | $10.96 | $10.96 | $12.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.94 Median $11.75 Typical High $15.85 | Professional | None | $7.94 | $11.75 | $15.85 |
CareFirst Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $12.30 | Professional | None | $10.00 | $10.00 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $12.30 Typical High $12.30 | Facility | None | $8.91 | $12.30 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $12.30 | Professional | None | $10.47 | $10.47 | $12.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.59 Median $17.78 Typical High $23.44 | Professional | None | $12.59 | $17.78 | $23.44 |
Medcost Setting Professional Modifier None Typical Low $13.49 Median $14.79 Typical High $20.89 | Professional | None | $13.49 | $14.79 | $20.89 |
Medcost Setting Facility Modifier None Typical Low $6.31 Median $9.55 Typical High $12.59 | Facility | None | $6.31 | $9.55 | $12.59 |
Medcost Setting Professional Modifier None Typical Low $9.55 Median $11.75 Typical High $12.88 | Professional | None | $9.55 | $11.75 | $12.88 |
Sentara Setting Facility Modifier None Typical Low $8.91 Median $13.18 Typical High $38.90 | Facility | None | $8.91 | $13.18 | $38.90 |
Sentara Setting Professional Modifier None Typical Low $11.48 Median $14.13 Typical High $27.54 | Professional | None | $11.48 | $14.13 | $27.54 |
United Setting Professional Modifier None Typical Low $7.94 Median $8.71 Typical High $13.80 | Professional | None | $7.94 | $8.71 | $13.80 |
4 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 55 · Aftercare only Typical Low $1.62 Median $1.62 Typical High $1.78 | Professional | 55 · Aftercare only | $1.62 | $1.62 | $1.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.10 Median $1.10 Typical High $1.20 | Professional | 56 · Pre-op care only | $1.10 | $1.10 | $1.20 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.93 Median $0.93 Typical High $1.38 | Professional | RR · Rental | $0.93 | $0.93 | $1.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7.08 Median $7.08 Typical High $7.59 | Professional | UE · Used equipment | $7.08 | $7.08 | $7.59 |
Where Virginia sits
The same service costs 3.0 times more in Hawaii than in Rhode Island. 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· 33rd of 51
$11.48
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.