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 $3.02 Median $3.02 Typical High $3.31 | Facility | None | $3.02 | $3.02 | $3.31 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.31 | Professional | None | $3.02 | $3.02 | $3.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $3.55 | Professional | None | $2.45 | $2.45 | $3.55 |
CareFirst Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $3.47 | Professional | None | $3.31 | $3.31 | $3.47 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $2.95 Typical High $3.16 | Facility | None | $2.95 | $2.95 | $3.16 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $2.95 | Professional | None | $2.51 | $2.51 | $2.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.55 Median $5.01 Typical High $6.61 | Professional | None | $3.55 | $5.01 | $6.61 |
Medcost Setting Professional Modifier None Typical Low $3.16 Median $3.55 Typical High $4.90 | Professional | None | $3.16 | $3.55 | $4.90 |
Medcost Setting Facility Modifier None Typical Low $1.48 Median $2.69 Typical High $3.55 | Facility | None | $1.48 | $2.69 | $3.55 |
Medcost Setting Professional Modifier None Typical Low $2.00 Median $2.69 Typical High $3.31 | Professional | None | $2.00 | $2.69 | $3.31 |
Sentara Setting Facility Modifier None Typical Low $2.51 Median $3.55 Typical High $10.72 | Facility | None | $2.51 | $3.55 | $10.72 |
Sentara Setting Professional Modifier None Typical Low $2.75 Median $3.89 Typical High $7.59 | Professional | None | $2.75 | $3.89 | $7.59 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.45 Typical High $3.72 | Professional | None | $2.09 | $2.45 | $3.72 |
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 $0.46 Median $0.46 Typical High $0.50 | Professional | 55 · Aftercare only | $0.46 | $0.46 | $0.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.31 Median $0.31 Typical High $0.33 | Professional | 56 · Pre-op care only | $0.31 | $0.31 | $0.33 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.25 Median $0.25 Typical High $0.35 | Professional | RR · Rental | $0.25 | $0.25 | $0.35 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.78 Median $1.82 Typical High $1.95 | Professional | UE · Used equipment | $1.78 | $1.82 | $1.95 |
Where Virginia sits
The same service costs 2.1 times more in Montana than in Colorado. 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· 36th of 51
$2.95
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.