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 $12.88 Median $13.80 Typical High $13.80 | Facility | None | $12.88 | $13.80 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $13.80 Typical High $13.80 | Professional | None | $12.59 | $13.80 | $13.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.51 Median $12.88 Typical High $16.98 | Professional | None | $8.51 | $12.88 | $16.98 |
CareFirst Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $13.18 | Professional | None | $10.72 | $10.72 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $13.49 Typical High $13.49 | Facility | None | $9.55 | $13.49 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $13.49 | Professional | None | $11.48 | $11.48 | $13.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.49 Median $19.50 Typical High $29.51 | Professional | None | $13.49 | $19.50 | $29.51 |
Medcost Setting Professional Modifier None Typical Low $14.45 Median $15.85 Typical High $22.39 | Professional | None | $14.45 | $15.85 | $22.39 |
Medcost Setting Facility Modifier None Typical Low $6.76 Median $12.30 Typical High $14.79 | Facility | None | $6.76 | $12.30 | $14.79 |
Medcost Setting Professional Modifier None Typical Low $12.30 Median $12.88 Typical High $14.79 | Professional | None | $12.30 | $12.88 | $14.79 |
Sentara Setting Facility Modifier None Typical Low $11.48 Median $16.60 Typical High $48.98 | Facility | None | $11.48 | $16.60 | $48.98 |
Sentara Setting Professional Modifier None Typical Low $14.79 Median $17.38 Typical High $34.67 | Professional | None | $14.79 | $17.38 | $34.67 |
United Setting Professional Modifier None Typical Low $9.55 Median $10.96 Typical High $15.14 | Professional | None | $9.55 | $10.96 | $15.14 |
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 $1.95 Median $2.04 Typical High $2.04 | Professional | 55 · Aftercare only | $1.95 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.29 Median $1.38 Typical High $1.38 | Professional | 56 · Pre-op care only | $1.29 | $1.38 | $1.38 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.00 Median $1.00 Typical High $1.51 | Professional | RR · Rental | $1.00 | $1.00 | $1.51 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7.59 Median $7.59 Typical High $8.13 | Professional | UE · Used equipment | $7.59 | $7.59 | $8.13 |
Where Virginia sits
The same service costs 2.8 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· 28th of 51
$13.18
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.