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 $7.76 Median $7.76 Typical High $8.51 | Facility | None | $7.76 | $7.76 | $8.51 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $8.51 | Professional | None | $7.76 | $7.76 | $8.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.57 Median $6.76 Typical High $8.91 | Professional | None | $4.57 | $6.76 | $8.91 |
CareFirst Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $8.71 | Professional | None | $7.08 | $7.08 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $5.13 Typical High $5.13 | Professional | None | $5.01 | $5.13 | $5.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.91 Median $12.59 Typical High $16.60 | Professional | None | $8.91 | $12.59 | $16.60 |
Medcost Setting Professional Modifier None Typical Low $7.94 Median $8.71 Typical High $12.30 | Professional | None | $7.94 | $8.71 | $12.30 |
Medcost Setting Facility Modifier None Typical Low $3.72 Median $6.76 Typical High $8.91 | Facility | None | $3.72 | $6.76 | $8.91 |
Medcost Setting Professional Modifier None Typical Low $6.76 Median $7.94 Typical High $8.32 | Professional | None | $6.76 | $7.94 | $8.32 |
Sentara Setting Facility Modifier None Typical Low $6.31 Median $9.33 Typical High $27.54 | Facility | None | $6.31 | $9.33 | $27.54 |
Sentara Setting Professional Modifier None Typical Low $8.13 Median $9.77 Typical High $19.50 | Professional | None | $8.13 | $9.77 | $19.50 |
United Setting Professional Modifier None Typical Low $5.62 Median $6.17 Typical High $9.33 | Professional | None | $5.62 | $6.17 | $9.33 |
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 $1.15 Median $1.15 Typical High $1.26 | Professional | 55 · Aftercare only | $1.15 | $1.15 | $1.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.78 Median $0.78 Typical High $0.83 | Professional | 56 · Pre-op care only | $0.78 | $0.78 | $0.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.54 Median $0.54 Typical High $0.83 | Professional | RR · Rental | $0.54 | $0.54 | $0.83 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3.98 Median $3.98 Typical High $4.37 | Professional | UE · Used equipment | $3.98 | $3.98 | $4.37 |
Where Virginia sits
The same service costs 2.7 times more in Hawaii than in Vermont. 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
$7.08
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.