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 $18.62 Median $18.62 Typical High $22.91 | Facility | None | $18.62 | $18.62 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $22.91 | Professional | None | $18.62 | $18.62 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.49 Median $20.42 Typical High $26.92 | Professional | None | $13.49 | $20.42 | $26.92 |
CareFirst Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $23.44 | Professional | None | $19.05 | $19.05 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $21.38 Typical High $21.38 | Facility | None | $12.59 | $21.38 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $21.38 | Professional | None | $18.20 | $18.20 | $21.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.99 Median $30.90 Typical High $42.66 | Professional | None | $23.99 | $30.90 | $42.66 |
Medcost Setting Professional Modifier None Typical Low $22.91 Median $25.12 Typical High $35.48 | Professional | None | $22.91 | $25.12 | $35.48 |
Medcost Setting Facility Modifier None Typical Low $10.72 Median $16.60 Typical High $23.99 | Facility | None | $10.72 | $16.60 | $23.99 |
Medcost Setting Professional Modifier None Typical Low $16.60 Median $20.42 Typical High $22.91 | Professional | None | $16.60 | $20.42 | $22.91 |
Sentara Setting Facility Modifier None Typical Low $15.49 Median $22.39 Typical High $66.07 | Facility | None | $15.49 | $22.39 | $66.07 |
Sentara Setting Professional Modifier None Typical Low $19.95 Median $23.99 Typical High $48.98 | Professional | None | $19.95 | $23.99 | $48.98 |
United Setting Professional Modifier None Typical Low $13.49 Median $16.22 Typical High $25.12 | Professional | None | $13.49 | $16.22 | $25.12 |
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 $2.75 Median $2.75 Typical High $3.39 | Professional | 55 · Aftercare only | $2.75 | $2.75 | $3.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.86 Median $1.86 Typical High $2.29 | Professional | 56 · Pre-op care only | $1.86 | $1.86 | $2.29 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.58 Median $1.58 Typical High $2.40 | Professional | RR · Rental | $1.58 | $1.58 | $2.40 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.02 Median $12.02 Typical High $12.88 | Professional | UE · Used equipment | $12.02 | $12.02 | $12.88 |
Where Virginia sits
The same service costs 2.6 times more in Hawaii than in New Hampshire. 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
$19.95
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.