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 $34.67 Median $36.31 Typical High $37.15 | Facility | None | $34.67 | $36.31 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $36.31 Typical High $37.15 | Professional | None | $34.67 | $36.31 | $37.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $72.44 | Facility | None | $67.61 | $67.61 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $45.71 | Professional | None | $42.66 | $42.66 | $45.71 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.27 Median $4.27 Typical High $4.68 | Professional | RR · Rental | $4.27 | $4.27 | $4.68 |
CareFirst Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $54.95 | Facility | None | $44.67 | $44.67 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Cigna Setting Professional Modifier RR · Rental Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | RR · Rental | $109.65 | $109.65 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $61.66 Typical High $107.15 | Professional | None | $46.77 | $61.66 | $107.15 |
Medcost Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $229.09 | Professional | None | $162.18 | $162.18 | $229.09 |
Medcost Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $70.79 | Facility | None | $53.70 | $53.70 | $70.79 |
Medcost Setting Professional Modifier None Typical Low $48.98 Median $53.70 Typical High $151.36 | Professional | None | $48.98 | $53.70 | $151.36 |
Sentara Setting Facility Modifier None Typical Low $28.84 Median $64.57 Typical High $162.18 | Facility | None | $28.84 | $64.57 | $162.18 |
Sentara Setting Professional Modifier None Typical Low $38.02 Median $60.26 Typical High $141.25 | Professional | None | $38.02 | $60.26 | $141.25 |
United Setting Professional Modifier None Typical Low $32.36 Median $38.90 Typical High $134.90 | Professional | None | $32.36 | $38.90 | $134.90 |
3 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 $5.37 Median $5.62 Typical High $5.62 | Professional | 55 · Aftercare only | $5.37 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $3.72 Typical High $3.72 | Professional | 56 · Pre-op care only | $3.63 | $3.72 | $3.72 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $31.62 Median $31.62 Typical High $34.67 | Professional | UE · Used equipment | $31.62 | $31.62 | $34.67 |
Where Virginia sits
The same service costs 2.5 times more in Wyoming than in Florida. 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· 41st of 51
$42.66
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.