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 $13.18 Median $13.18 Typical High $14.45 | Facility | None | $13.18 | $13.18 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $15.49 | Professional | None | $13.18 | $13.18 | $15.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $13.49 Typical High $18.20 | Professional | None | $9.12 | $13.49 | $18.20 |
CareFirst Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $15.14 | Professional | None | $12.30 | $12.30 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $15.14 Typical High $15.14 | Facility | None | $12.02 | $15.14 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $15.14 | Professional | None | $12.88 | $12.88 | $15.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.14 Median $21.88 Typical High $28.18 | Professional | None | $15.14 | $21.88 | $28.18 |
Medcost Setting Professional Modifier None Typical Low $16.22 Median $18.20 Typical High $25.12 | Professional | None | $16.22 | $18.20 | $25.12 |
Medcost Setting Facility Modifier None Typical Low $7.59 Median $11.75 Typical High $15.49 | Facility | None | $7.59 | $11.75 | $15.49 |
Medcost Setting Professional Modifier None Typical Low $11.75 Median $14.13 Typical High $15.85 | Professional | None | $11.75 | $14.13 | $15.85 |
Sentara Setting Facility Modifier None Typical Low $10.96 Median $15.85 Typical High $46.77 | Facility | None | $10.96 | $15.85 | $46.77 |
Sentara Setting Professional Modifier None Typical Low $14.13 Median $16.98 Typical High $33.11 | Professional | None | $14.13 | $16.98 | $33.11 |
United Setting Professional Modifier None Typical Low $9.55 Median $10.72 Typical High $16.98 | Professional | None | $9.55 | $10.72 | $16.98 |
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 $2.00 Median $2.00 Typical High $2.29 | Professional | 55 · Aftercare only | $2.00 | $2.00 | $2.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.32 Median $1.32 Typical High $1.55 | Professional | 56 · Pre-op care only | $1.32 | $1.32 | $1.55 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.07 Median $1.07 Typical High $1.70 | Professional | RR · Rental | $1.07 | $1.07 | $1.70 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $8.13 Median $8.13 Typical High $8.71 | Professional | UE · Used equipment | $8.13 | $8.13 | $8.71 |
Where Virginia sits
The same service costs 3.5 times more in Hawaii than in Connecticut. 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
$13.49
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.