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 $12.88 Median $12.88 Typical High $14.13 | Facility | None | $12.88 | $12.88 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $14.13 | Professional | None | $12.88 | $12.88 | $14.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $13.18 Typical High $17.38 | Professional | None | $8.91 | $13.18 | $17.38 |
CareFirst Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.79 | Professional | None | $14.13 | $14.13 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $11.75 Typical High $11.75 | Professional | None | $8.71 | $11.75 | $11.75 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.14 Median $21.38 Typical High $27.54 | Professional | None | $15.14 | $21.38 | $27.54 |
Medcost Setting Professional Modifier None Typical Low $13.49 Median $15.14 Typical High $20.89 | Professional | None | $13.49 | $15.14 | $20.89 |
Medcost Setting Facility Modifier None Typical Low $6.31 Median $11.48 Typical High $15.14 | Facility | None | $6.31 | $11.48 | $15.14 |
Medcost Setting Professional Modifier None Typical Low $11.48 Median $12.88 Typical High $14.13 | Professional | None | $11.48 | $12.88 | $14.13 |
Sentara Setting Facility Modifier None Typical Low $10.72 Median $15.85 Typical High $45.71 | Facility | None | $10.72 | $15.85 | $45.71 |
Sentara Setting Professional Modifier None Typical Low $13.80 Median $16.60 Typical High $32.36 | Professional | None | $13.80 | $16.60 | $32.36 |
United Setting Professional Modifier None Typical Low $8.91 Median $10.47 Typical High $15.85 | Professional | None | $8.91 | $10.47 | $15.85 |
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 $1.95 Median $1.95 Typical High $2.14 | Professional | 55 · Aftercare only | $1.95 | $1.95 | $2.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.29 Median $1.29 Typical High $1.41 | Professional | 56 · Pre-op care only | $1.29 | $1.29 | $1.41 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.05 Median $1.05 Typical High $1.48 | Professional | RR · Rental | $1.05 | $1.05 | $1.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7.94 Median $7.94 Typical High $8.51 | Professional | UE · Used equipment | $7.94 | $7.94 | $8.51 |
Where Virginia sits
The same service costs 2.3 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· 24th of 51
$12.88
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.