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 $8.51 Median $8.51 Typical High $9.33 | Facility | None | $8.51 | $8.51 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $9.33 | Professional | None | $8.51 | $8.51 | $9.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $9.77 | Professional | None | $7.08 | $7.08 | $9.77 |
CareFirst Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.55 | Professional | None | $9.33 | $9.33 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $8.32 | Professional | None | $7.08 | $7.08 | $8.32 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.77 Median $14.13 Typical High $18.20 | Professional | None | $9.77 | $14.13 | $18.20 |
Medcost Setting Professional Modifier None Typical Low $8.91 Median $9.77 Typical High $13.80 | Professional | None | $8.91 | $9.77 | $13.80 |
Medcost Setting Facility Modifier None Typical Low $4.17 Median $7.59 Typical High $9.77 | Facility | None | $4.17 | $7.59 | $9.77 |
Medcost Setting Professional Modifier None Typical Low $7.59 Median $8.51 Typical High $9.12 | Professional | None | $7.59 | $8.51 | $9.12 |
Sentara Setting Facility Modifier None Typical Low $7.08 Median $10.47 Typical High $40.74 | Facility | None | $7.08 | $10.47 | $40.74 |
Sentara Setting Professional Modifier None Typical Low $7.94 Median $10.72 Typical High $21.38 | Professional | None | $7.94 | $10.72 | $21.38 |
United Setting Professional Modifier None Typical Low $5.89 Median $6.92 Typical High $10.47 | Professional | None | $5.89 | $6.92 | $10.47 |
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 $1.29 Median $1.29 Typical High $1.41 | Professional | 55 · Aftercare only | $1.29 | $1.29 | $1.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.85 Median $0.85 Typical High $0.93 | Professional | 56 · Pre-op care only | $0.85 | $0.85 | $0.93 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.71 Median $0.71 Typical High $0.98 | Professional | RR · Rental | $0.71 | $0.71 | $0.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5.13 Median $5.37 Typical High $5.62 | Professional | UE · Used equipment | $5.13 | $5.37 | $5.62 |
Where Virginia sits
The same service costs 2.1 times more in Idaho than in Delaware. 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· 28th of 51
$8.51
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.