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 $2.51 Median $2.51 Typical High $3.31 | Facility | None | $2.51 | $2.51 | $3.31 |
Aetna Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $3.31 | Professional | None | $2.51 | $2.51 | $3.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $3.31 | Professional | None | $2.51 | $2.51 | $3.31 |
CareFirst Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.39 | Professional | None | $3.24 | $3.24 | $3.39 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $2.95 Typical High $3.09 | Facility | None | $2.95 | $2.95 | $3.09 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $2.95 | Professional | None | $2.45 | $2.45 | $2.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.47 Median $4.17 Typical High $6.17 | Professional | None | $3.47 | $4.17 | $6.17 |
Medcost Setting Professional Modifier None Typical Low $3.02 Median $3.39 Typical High $4.68 | Professional | None | $3.02 | $3.39 | $4.68 |
Medcost Setting Facility Modifier None Typical Low $1.45 Median $2.24 Typical High $3.47 | Facility | None | $1.45 | $2.24 | $3.47 |
Medcost Setting Professional Modifier None Typical Low $2.24 Median $2.88 Typical High $3.24 | Professional | None | $2.24 | $2.88 | $3.24 |
Sentara Setting Facility Modifier None Typical Low $2.09 Median $3.09 Typical High $12.02 | Facility | None | $2.09 | $3.09 | $12.02 |
Sentara Setting Professional Modifier None Typical Low $2.69 Median $3.55 Typical High $6.92 | Professional | None | $2.69 | $3.55 | $6.92 |
United Setting Professional Modifier None Typical Low $1.86 Median $2.24 Typical High $3.63 | Professional | None | $1.86 | $2.24 | $3.63 |
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 $0.38 Median $0.38 Typical High $0.49 | Professional | 55 · Aftercare only | $0.38 | $0.38 | $0.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.25 Median $0.25 Typical High $0.33 | Professional | 56 · Pre-op care only | $0.25 | $0.25 | $0.33 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.25 Median $0.25 Typical High $0.32 | Professional | RR · Rental | $0.25 | $0.25 | $0.32 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.82 Median $1.86 Typical High $1.95 | Professional | UE · Used equipment | $1.82 | $1.86 | $1.95 |
Where Virginia sits
The same service costs 5.5 times more in Kansas than in Delaware. 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· 37th of 51
$2.69
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.