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 $33.11 Median $33.11 Typical High $42.66 | Facility | None | $33.11 | $33.11 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $42.66 | Professional | None | $33.11 | $33.11 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.91 Median $34.67 Typical High $45.71 | Professional | None | $22.91 | $34.67 | $45.71 |
CareFirst Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $44.67 | Professional | None | $36.31 | $36.31 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $38.02 Typical High $38.02 | Facility | None | $34.67 | $38.02 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $38.02 | Professional | None | $32.36 | $32.36 | $38.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $54.95 Typical High $81.28 | Professional | None | $45.71 | $54.95 | $81.28 |
Medcost Setting Professional Modifier None Typical Low $40.74 Median $45.71 Typical High $64.57 | Professional | None | $40.74 | $45.71 | $64.57 |
Medcost Setting Facility Modifier None Typical Low $19.05 Median $29.51 Typical High $45.71 | Facility | None | $19.05 | $29.51 | $45.71 |
Medcost Setting Professional Modifier None Typical Low $29.51 Median $36.31 Typical High $40.74 | Professional | None | $29.51 | $36.31 | $40.74 |
Sentara Setting Facility Modifier None Typical Low $27.54 Median $39.81 Typical High $117.49 | Facility | None | $27.54 | $39.81 | $117.49 |
Sentara Setting Professional Modifier None Typical Low $35.48 Median $43.65 Typical High $89.13 | Professional | None | $35.48 | $43.65 | $89.13 |
United Setting Professional Modifier None Typical Low $24.55 Median $30.90 Typical High $47.86 | Professional | None | $24.55 | $30.90 | $47.86 |
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 $5.01 Median $5.01 Typical High $6.46 | Professional | 55 · Aftercare only | $5.01 | $5.01 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $3.39 Typical High $4.27 | Professional | 56 · Pre-op care only | $3.39 | $3.39 | $4.27 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.69 Median $2.69 Typical High $4.27 | Professional | RR · Rental | $2.69 | $2.69 | $4.27 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $20.42 Typical High $21.88 | Professional | UE · Used equipment | $20.42 | $20.42 | $21.88 |
Where Virginia sits
The same service costs 3.0 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· 30th of 51
$36.31
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.