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 $1.26 Median $1.26 Typical High $1.35 | Facility | None | $1.26 | $1.26 | $1.35 |
Aetna Setting Professional Modifier None Typical Low $1.26 Median $1.26 Typical High $1.35 | Professional | None | $1.26 | $1.26 | $1.35 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.02 Median $1.02 Typical High $1.41 | Professional | None | $1.02 | $1.02 | $1.41 |
CareFirst Setting Professional Modifier None Typical Low $1.35 Median $1.35 Typical High $1.41 | Professional | None | $1.35 | $1.35 | $1.41 |
Cigna Setting Facility Modifier None Typical Low $1.20 Median $1.20 Typical High $1.29 | Facility | None | $1.20 | $1.20 | $1.29 |
Cigna Setting Professional Modifier None Typical Low $1.02 Median $1.02 Typical High $1.20 | Professional | None | $1.02 | $1.02 | $1.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.45 Median $2.04 Typical High $2.69 | Professional | None | $1.45 | $2.04 | $2.69 |
Medcost Setting Professional Modifier None Typical Low $1.20 Median $1.32 Typical High $1.86 | Professional | None | $1.20 | $1.32 | $1.86 |
Medcost Setting Facility Modifier None Typical Low $0.62 Median $1.12 Typical High $1.45 | Facility | None | $0.62 | $1.12 | $1.45 |
Medcost Setting Professional Modifier None Typical Low $1.00 Median $1.12 Typical High $1.35 | Professional | None | $1.00 | $1.12 | $1.35 |
Sentara Setting Facility Modifier None Typical Low $1.02 Median $1.48 Typical High $4.37 | Facility | None | $1.02 | $1.48 | $4.37 |
Sentara Setting Professional Modifier None Typical Low $1.32 Median $1.58 Typical High $3.09 | Professional | None | $1.32 | $1.58 | $3.09 |
United Setting Professional Modifier None Typical Low $0.85 Median $1.00 Typical High $1.51 | Professional | None | $0.85 | $1.00 | $1.51 |
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 $0.19 Median $0.19 Typical High $0.20 | Professional | 55 · Aftercare only | $0.19 | $0.19 | $0.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.13 Median $0.13 Typical High $0.14 | Professional | 56 · Pre-op care only | $0.13 | $0.13 | $0.14 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.10 Median $0.10 Typical High $0.14 | Professional | RR · Rental | $0.10 | $0.10 | $0.14 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.74 Median $0.76 Typical High $0.79 | Professional | UE · Used equipment | $0.74 | $0.76 | $0.79 |
Where Virginia sits
The same service costs 2.1 times more in Kansas than in Kentucky. 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
$1.26
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.