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 $7.76 Median $7.76 Typical High $8.51 | Facility | None | $7.76 | $7.76 | $8.51 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $8.51 | Professional | None | $7.76 | $7.76 | $8.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $8.91 | Professional | None | $6.46 | $6.46 | $8.91 |
CareFirst Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.91 | Professional | None | $8.51 | $8.51 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.94 | Facility | None | $7.59 | $7.59 | $7.94 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $7.59 | Professional | None | $6.46 | $6.46 | $7.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.12 Median $12.88 Typical High $16.60 | Professional | None | $9.12 | $12.88 | $16.60 |
Medcost Setting Professional Modifier None Typical Low $8.13 Median $9.12 Typical High $12.59 | Professional | None | $8.13 | $9.12 | $12.59 |
Medcost Setting Facility Modifier None Typical Low $3.80 Median $6.92 Typical High $9.12 | Facility | None | $3.80 | $6.92 | $9.12 |
Medcost Setting Professional Modifier None Typical Low $6.92 Median $7.76 Typical High $8.32 | Professional | None | $6.92 | $7.76 | $8.32 |
Sentara Setting Facility Modifier None Typical Low $6.46 Median $9.77 Typical High $37.15 | Facility | None | $6.46 | $9.77 | $37.15 |
Sentara Setting Professional Modifier None Typical Low $7.24 Median $10.00 Typical High $19.50 | Professional | None | $7.24 | $10.00 | $19.50 |
United Setting Professional Modifier None Typical Low $5.37 Median $6.31 Typical High $9.55 | Professional | None | $5.37 | $6.31 | $9.55 |
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 $1.17 Median $1.17 Typical High $1.29 | Professional | 55 · Aftercare only | $1.17 | $1.17 | $1.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.78 Median $0.78 Typical High $0.85 | Professional | 56 · Pre-op care only | $0.78 | $0.78 | $0.85 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.65 Median $0.65 Typical High $0.89 | Professional | RR · Rental | $0.65 | $0.65 | $0.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4.79 Median $4.90 Typical High $5.13 | Professional | UE · Used equipment | $4.79 | $4.90 | $5.13 |
Where Virginia sits
The same service costs 2.1 times more in Idaho than in New Jersey. 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· 32nd of 51
$7.76
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.