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 $24.55 Median $24.55 Typical High $26.92 | Facility | None | $24.55 | $24.55 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $26.92 | Professional | None | $24.55 | $24.55 | $26.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.60 Median $25.12 Typical High $33.11 | Professional | None | $16.60 | $25.12 | $33.11 |
CareFirst Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $27.54 | Professional | None | $26.92 | $26.92 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $22.39 Typical High $22.39 | Professional | None | $16.22 | $22.39 | $22.39 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.18 Median $39.81 Typical High $52.48 | Professional | None | $28.18 | $39.81 | $52.48 |
Medcost Setting Professional Modifier None Typical Low $25.12 Median $28.18 Typical High $39.81 | Professional | None | $25.12 | $28.18 | $39.81 |
Medcost Setting Facility Modifier None Typical Low $11.75 Median $21.38 Typical High $28.18 | Facility | None | $11.75 | $21.38 | $28.18 |
Medcost Setting Professional Modifier None Typical Low $21.38 Median $24.55 Typical High $26.30 | Professional | None | $21.38 | $24.55 | $26.30 |
Sentara Setting Facility Modifier None Typical Low $19.95 Median $29.51 Typical High $87.10 | Facility | None | $19.95 | $29.51 | $87.10 |
Sentara Setting Professional Modifier None Typical Low $25.70 Median $30.90 Typical High $61.66 | Professional | None | $25.70 | $30.90 | $61.66 |
United Setting Professional Modifier None Typical Low $16.60 Median $19.50 Typical High $29.51 | Professional | None | $16.60 | $19.50 | $29.51 |
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 $3.63 Median $3.63 Typical High $3.98 | Professional | 55 · Aftercare only | $3.63 | $3.63 | $3.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $2.45 Typical High $2.63 | Professional | 56 · Pre-op care only | $2.45 | $2.45 | $2.63 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.95 Median $1.95 Typical High $2.82 | Professional | RR · Rental | $1.95 | $1.95 | $2.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $14.79 Median $14.79 Typical High $15.85 | Professional | UE · Used equipment | $14.79 | $14.79 | $15.85 |
Where Virginia sits
The same service costs 3.0 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· 23rd of 51
$24.55
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.