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 $40.74 Median $40.74 Typical High $44.67 | Facility | None | $40.74 | $40.74 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $44.67 | Professional | None | $40.74 | $40.74 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.18 Median $41.69 Typical High $56.23 | Professional | None | $28.18 | $41.69 | $56.23 |
CareFirst Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $46.77 | Professional | None | $44.67 | $44.67 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $39.81 | Professional | None | $33.88 | $33.88 | $39.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $47.86 Median $67.61 Typical High $89.13 | Professional | None | $47.86 | $67.61 | $89.13 |
Medcost Setting Professional Modifier None Typical Low $42.66 Median $47.86 Typical High $66.07 | Professional | None | $42.66 | $47.86 | $66.07 |
Medcost Setting Facility Modifier None Typical Low $19.95 Median $36.31 Typical High $47.86 | Facility | None | $19.95 | $36.31 | $47.86 |
Medcost Setting Professional Modifier None Typical Low $36.31 Median $40.74 Typical High $44.67 | Professional | None | $36.31 | $40.74 | $44.67 |
Sentara Setting Facility Modifier None Typical Low $33.88 Median $50.12 Typical High $144.54 | Facility | None | $33.88 | $50.12 | $144.54 |
Sentara Setting Professional Modifier None Typical Low $43.65 Median $52.48 Typical High $102.33 | Professional | None | $43.65 | $52.48 | $102.33 |
United Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $50.12 | Professional | None | $28.18 | $33.11 | $50.12 |
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 $6.17 Median $6.17 Typical High $6.76 | Professional | 55 · Aftercare only | $6.17 | $6.17 | $6.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.07 Typical High $4.47 | Professional | 56 · Pre-op care only | $4.07 | $4.07 | $4.47 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.31 Median $3.31 Typical High $4.79 | Professional | RR · Rental | $3.31 | $3.31 | $4.79 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $25.12 Median $25.12 Typical High $26.92 | Professional | UE · Used equipment | $25.12 | $25.12 | $26.92 |
Where Virginia sits
The same service costs 5.8 times more in Hawaii than in Kansas. 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· 24th of 51
$42.66
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.