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 $2.09 Median $2.09 Typical High $2.29 | Facility | None | $2.09 | $2.09 | $2.29 |
Aetna Setting Professional Modifier None Typical Low $1.95 Median $2.09 Typical High $2.29 | Professional | None | $1.95 | $2.09 | $2.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $1.86 | Professional | None | $1.74 | $1.74 | $1.86 |
CareFirst Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.34 | Professional | None | $2.29 | $2.29 | $2.34 |
Cigna Setting Facility Modifier None Typical Low $1.82 Median $2.04 Typical High $2.04 | Facility | None | $1.82 | $2.04 | $2.04 |
Cigna Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $2.04 | Professional | None | $1.74 | $1.74 | $2.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.40 Median $3.47 Typical High $4.47 | Professional | None | $2.40 | $3.47 | $4.47 |
Medcost Setting Professional Modifier None Typical Low $2.19 Median $2.40 Typical High $3.39 | Professional | None | $2.19 | $2.40 | $3.39 |
Medcost Setting Facility Modifier None Typical Low $1.02 Median $1.86 Typical High $2.45 | Facility | None | $1.02 | $1.86 | $2.45 |
Medcost Setting Professional Modifier None Typical Low $1.86 Median $2.00 Typical High $2.24 | Professional | None | $1.86 | $2.00 | $2.24 |
Sentara Setting Facility Modifier None Typical Low $1.41 Median $2.57 Typical High $10.00 | Facility | None | $1.41 | $2.57 | $10.00 |
Sentara Setting Professional Modifier None Typical Low $1.02 Median $2.63 Typical High $5.25 | Professional | None | $1.02 | $2.63 | $5.25 |
United Setting Professional Modifier None Typical Low $1.45 Median $1.70 Typical High $2.51 | Professional | None | $1.45 | $1.70 | $2.51 |
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 $0.31 Median $0.31 Typical High $0.34 | Professional | 55 · Aftercare only | $0.31 | $0.31 | $0.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.21 Median $0.21 Typical High $0.23 | Professional | 56 · Pre-op care only | $0.21 | $0.21 | $0.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.18 Median $0.18 Typical High $0.23 | Professional | RR · Rental | $0.18 | $0.18 | $0.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.29 Median $1.32 Typical High $1.38 | Professional | UE · Used equipment | $1.29 | $1.32 | $1.38 |
Where Virginia sits
The same service costs 3.8 times more in Kansas than in Alabama. 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· 41st of 51
$1.78
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.