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 $3.98 Median $3.98 Typical High $4.37 | Facility | None | $3.98 | $3.98 | $4.37 |
Aetna Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $4.37 | Professional | None | $3.98 | $3.98 | $4.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.75 Median $4.07 Typical High $5.37 | Professional | None | $2.75 | $4.07 | $5.37 |
CareFirst Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $4.47 | Professional | None | $4.37 | $4.37 | $4.47 |
Cigna Setting Facility Modifier None Typical Low $3.89 Median $3.89 Typical High $3.89 | Facility | None | $3.89 | $3.89 | $3.89 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $3.89 | Professional | None | $3.31 | $3.31 | $3.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.57 Median $6.61 Typical High $8.51 | Professional | None | $4.57 | $6.61 | $8.51 |
Medcost Setting Professional Modifier None Typical Low $4.17 Median $4.57 Typical High $6.46 | Professional | None | $4.17 | $4.57 | $6.46 |
Medcost Setting Facility Modifier None Typical Low $1.95 Median $3.55 Typical High $4.68 | Facility | None | $1.95 | $3.55 | $4.68 |
Medcost Setting Professional Modifier None Typical Low $3.55 Median $3.98 Typical High $4.27 | Professional | None | $3.55 | $3.98 | $4.27 |
Sentara Setting Facility Modifier None Typical Low $3.31 Median $4.79 Typical High $14.13 | Facility | None | $3.31 | $4.79 | $14.13 |
Sentara Setting Professional Modifier None Typical Low $4.27 Median $5.13 Typical High $10.00 | Professional | None | $4.27 | $5.13 | $10.00 |
United Setting Professional Modifier None Typical Low $2.75 Median $3.24 Typical High $4.79 | Professional | None | $2.75 | $3.24 | $4.79 |
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 $0.60 Median $0.60 Typical High $0.66 | Professional | 55 · Aftercare only | $0.60 | $0.60 | $0.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.40 Median $0.40 Typical High $0.44 | Professional | 56 · Pre-op care only | $0.40 | $0.40 | $0.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.32 Median $0.32 Typical High $0.46 | Professional | RR · Rental | $0.32 | $0.32 | $0.46 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.40 Median $2.40 Typical High $2.63 | Professional | UE · Used equipment | $2.40 | $2.40 | $2.63 |
Where Virginia sits
The same service costs 2.6 times more in Kansas than in New Hampshire. 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· 25th of 51
$4.17
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.