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 $47.86 Median $51.29 Typical High $51.29 | Facility | None | $47.86 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $51.29 Typical High $51.29 | Professional | None | $47.86 | $51.29 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $97.72 | Facility | None | $93.33 | $93.33 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
CareFirst Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $63.10 Median $85.11 Typical High $144.54 | Professional | None | $63.10 | $85.11 | $144.54 |
Medcost Setting Facility Modifier None Typical Low $51.29 Median $61.66 Typical High $93.33 | Facility | None | $51.29 | $61.66 | $93.33 |
Medcost Setting Professional Modifier None Typical Low $46.77 Median $66.07 Typical High $67.61 | Professional | None | $46.77 | $66.07 | $67.61 |
Sentara Setting Facility Modifier None Typical Low $47.86 Median $67.61 Typical High $128.82 | Facility | None | $47.86 | $67.61 | $128.82 |
Sentara Setting Professional Modifier None Typical Low $45.71 Median $67.61 Typical High $89.13 | Professional | None | $45.71 | $67.61 | $89.13 |
United Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $93.33 | Professional | None | $45.71 | $56.23 | $93.33 |
6 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 52 · Reduced service Typical Low $23.99 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $23.99 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $9.55 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $7.59 Typical High $7.59 | Professional | 55 · Aftercare only | $7.08 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $5.13 Typical High $5.13 | Professional | 56 · Pre-op care only | $4.79 | $5.13 | $5.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.37 Median $6.46 Typical High $53.70 | Professional | RR · Rental | $5.37 | $6.46 | $53.70 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $38.02 Median $39.81 Typical High $52.48 | Professional | UE · Used equipment | $38.02 | $39.81 | $52.48 |
Where Virginia sits
The same service costs 2.5 times more in Hawaii than in Rhode Island. 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· 31st of 51
$54.95
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.