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 $27.54 Median $27.54 Typical High $30.20 | Facility | None | $27.54 | $27.54 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $30.20 | Professional | None | $27.54 | $27.54 | $30.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.79 Median $21.88 Typical High $29.51 | Professional | None | $14.79 | $21.88 | $29.51 |
CareFirst Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $30.90 | Professional | None | $25.12 | $25.12 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $26.92 Typical High $26.92 | Facility | None | $22.39 | $26.92 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $26.92 | Professional | None | $22.91 | $22.91 | $26.92 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $45.71 Typical High $58.88 | Professional | None | $31.62 | $45.71 | $58.88 |
Medcost Setting Professional Modifier None Typical Low $24.55 Median $26.92 Typical High $38.02 | Professional | None | $24.55 | $26.92 | $38.02 |
Medcost Setting Facility Modifier None Typical Low $13.49 Median $24.55 Typical High $31.62 | Facility | None | $13.49 | $24.55 | $31.62 |
Medcost Setting Professional Modifier None Typical Low $23.99 Median $24.55 Typical High $29.51 | Professional | None | $23.99 | $24.55 | $29.51 |
Sentara Setting Facility Modifier None Typical Low $22.39 Median $33.11 Typical High $97.72 | Facility | None | $22.39 | $33.11 | $97.72 |
Sentara Setting Professional Modifier None Typical Low $29.51 Median $34.67 Typical High $69.18 | Professional | None | $29.51 | $34.67 | $69.18 |
United Setting Professional Modifier None Typical Low $18.62 Median $21.88 Typical High $33.11 | Professional | None | $18.62 | $21.88 | $33.11 |
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 $4.07 Median $4.07 Typical High $4.47 | Professional | 55 · Aftercare only | $4.07 | $4.07 | $4.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.75 Median $2.75 Typical High $3.02 | Professional | 56 · Pre-op care only | $2.75 | $2.75 | $3.02 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.74 Median $1.74 Typical High $2.95 | Professional | RR · Rental | $1.74 | $1.74 | $2.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.88 Median $12.88 Typical High $13.80 | Professional | UE · Used equipment | $12.88 | $12.88 | $13.80 |
Where Virginia sits
The same service costs 2.5 times more in Idaho than in Kentucky. 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· 23rd of 51
$27.54
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.