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 $14.45 Median $14.45 Typical High $17.38 | Facility | None | $14.45 | $14.45 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $17.38 | Professional | None | $14.45 | $14.45 | $17.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $17.38 | Professional | None | $11.22 | $11.22 | $17.38 |
CareFirst Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.78 | Professional | None | $17.38 | $17.38 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $15.49 | Professional | None | $13.18 | $13.18 | $15.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.20 Median $23.99 Typical High $33.11 | Professional | None | $18.20 | $23.99 | $33.11 |
Medcost Setting Professional Modifier None Typical Low $16.60 Median $18.20 Typical High $25.70 | Professional | None | $16.60 | $18.20 | $25.70 |
Medcost Setting Facility Modifier None Typical Low $7.76 Median $12.88 Typical High $18.20 | Facility | None | $7.76 | $12.88 | $18.20 |
Medcost Setting Professional Modifier None Typical Low $10.47 Median $12.88 Typical High $16.98 | Professional | None | $10.47 | $12.88 | $16.98 |
Sentara Setting Facility Modifier None Typical Low $9.77 Median $17.38 Typical High $69.18 | Facility | None | $9.77 | $17.38 | $69.18 |
Sentara Setting Professional Modifier None Typical Low $9.55 Median $18.20 Typical High $37.15 | Professional | None | $9.55 | $18.20 | $37.15 |
United Setting Professional Modifier None Typical Low $10.47 Median $12.59 Typical High $19.05 | Professional | None | $10.47 | $12.59 | $19.05 |
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 $2.14 Median $2.14 Typical High $2.57 | Professional | 55 · Aftercare only | $2.14 | $2.14 | $2.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.45 Median $1.45 Typical High $1.74 | Professional | 56 · Pre-op care only | $1.45 | $1.45 | $1.74 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.12 Median $1.12 Typical High $1.74 | Professional | RR · Rental | $1.12 | $1.12 | $1.74 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $8.13 Median $8.51 Typical High $8.91 | Professional | UE · Used equipment | $8.13 | $8.51 | $8.91 |
Where Virginia sits
The same service costs 3.5 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· 33rd of 51
$14.45
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.