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 $19.50 Median $19.50 Typical High $24.55 | Facility | None | $19.50 | $19.50 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $24.55 | Professional | None | $19.50 | $19.50 | $24.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $21.38 Typical High $28.18 | Professional | None | $14.13 | $21.38 | $28.18 |
CareFirst Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $25.12 | Professional | None | $20.42 | $20.42 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $21.88 Typical High $21.88 | Facility | None | $18.20 | $21.88 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $21.88 | Professional | None | $18.62 | $18.62 | $21.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.70 Median $31.62 Typical High $45.71 | Professional | None | $25.70 | $31.62 | $45.71 |
Medcost Setting Professional Modifier None Typical Low $23.99 Median $26.30 Typical High $37.15 | Professional | None | $23.99 | $26.30 | $37.15 |
Medcost Setting Facility Modifier None Typical Low $11.22 Median $16.98 Typical High $25.70 | Facility | None | $11.22 | $16.98 | $25.70 |
Medcost Setting Professional Modifier None Typical Low $16.98 Median $21.88 Typical High $24.55 | Professional | None | $16.98 | $21.88 | $24.55 |
Sentara Setting Facility Modifier None Typical Low $15.85 Median $23.44 Typical High $69.18 | Facility | None | $15.85 | $23.44 | $69.18 |
Sentara Setting Professional Modifier None Typical Low $20.42 Median $25.12 Typical High $52.48 | Professional | None | $20.42 | $25.12 | $52.48 |
United Setting Professional Modifier None Typical Low $14.13 Median $17.78 Typical High $26.92 | Professional | None | $14.13 | $17.78 | $26.92 |
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 $2.88 Median $2.88 Typical High $3.63 | Professional | 55 · Aftercare only | $2.88 | $2.88 | $3.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.95 Median $1.95 Typical High $2.45 | Professional | 56 · Pre-op care only | $1.95 | $1.95 | $2.45 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.66 Median $1.66 Typical High $2.51 | Professional | RR · Rental | $1.66 | $1.66 | $2.51 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.59 Median $12.59 Typical High $13.49 | Professional | UE · Used equipment | $12.59 | $12.59 | $13.49 |
Where Virginia sits
The same service costs 2.9 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· 37th of 51
$20.42
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.