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 $9.77 Median $9.77 Typical High $10.72 | Facility | None | $9.77 | $9.77 | $10.72 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $10.72 | Professional | None | $9.77 | $9.77 | $10.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $11.22 | Professional | None | $8.13 | $8.13 | $11.22 |
CareFirst Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $10.96 | Professional | None | $8.91 | $8.91 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $9.55 Typical High $9.55 | Facility | None | $8.13 | $9.55 | $9.55 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $9.55 | Professional | None | $8.13 | $8.13 | $9.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.22 Median $16.22 Typical High $20.89 | Professional | None | $11.22 | $16.22 | $20.89 |
Medcost Setting Professional Modifier None Typical Low $10.23 Median $11.22 Typical High $15.85 | Professional | None | $10.23 | $11.22 | $15.85 |
Medcost Setting Facility Modifier None Typical Low $4.79 Median $8.71 Typical High $11.22 | Facility | None | $4.79 | $8.71 | $11.22 |
Medcost Setting Professional Modifier None Typical Low $8.71 Median $9.77 Typical High $10.47 | Professional | None | $8.71 | $9.77 | $10.47 |
Sentara Setting Facility Modifier None Typical Low $8.13 Median $11.75 Typical High $34.67 | Facility | None | $8.13 | $11.75 | $34.67 |
Sentara Setting Professional Modifier None Typical Low $10.47 Median $12.59 Typical High $24.55 | Professional | None | $10.47 | $12.59 | $24.55 |
United Setting Professional Modifier None Typical Low $6.76 Median $7.94 Typical High $11.75 | Professional | None | $6.76 | $7.94 | $11.75 |
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 $1.45 Median $1.45 Typical High $1.58 | Professional | 55 · Aftercare only | $1.45 | $1.45 | $1.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.98 Median $0.98 Typical High $1.07 | Professional | 56 · Pre-op care only | $0.98 | $0.98 | $1.07 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.81 Median $0.81 Typical High $1.12 | Professional | RR · Rental | $0.81 | $0.81 | $1.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5.89 Median $6.17 Typical High $6.46 | Professional | UE · Used equipment | $5.89 | $6.17 | $6.46 |
Where Virginia sits
The same service costs 2.2 times more in Kansas than in Connecticut. 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
$9.55
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.