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 $144.54 Median $234.42 Typical High $891.25 | Facility | None | $144.54 | $234.42 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $234.42 Typical High $891.25 | Professional | None | $144.54 | $234.42 | $891.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $218.78 | Professional | None | $169.82 | $199.53 | $218.78 |
CareFirst Setting Professional Modifier None Typical Low $1,513.56 Median $1,995.26 Typical High $2,754.23 | Professional | None | $1,513.56 | $1,995.26 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $288.40 Typical High $354.81 | Professional | None | $239.88 | $288.40 | $354.81 |
Medcost Setting Facility Modifier None Typical Low $144.54 Median $234.42 Typical High $389.05 | Facility | None | $144.54 | $234.42 | $389.05 |
Medcost Setting Professional Modifier None Typical Low $181.97 Median $190.55 Typical High $331.13 | Professional | None | $181.97 | $190.55 | $331.13 |
Sentara Setting Facility Modifier None Typical Low $123.03 Median $323.59 Typical High $10,232.93 | Facility | None | $123.03 | $323.59 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $151.36 Median $794.33 Typical High $1,288.25 | Professional | None | $151.36 | $794.33 | $1,288.25 |
United Setting Facility Modifier None Typical Low $3,890.45 Median $4,265.80 Typical High $9,549.93 | Facility | None | $3,890.45 | $4,265.80 | $9,549.93 |
United Setting Professional Modifier None Typical Low $58.88 Median $131.83 Typical High $288.40 | Professional | None | $58.88 | $131.83 | $288.40 |
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 52 · Reduced service Typical Low $72.44 Median $117.49 Typical High $446.68 | Professional | 52 · Reduced service | $72.44 | $117.49 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $46.77 Typical High $177.83 | Professional | 53 · Discontinued | $28.84 | $46.77 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $35.48 Typical High $134.90 | Professional | 55 · Aftercare only | $21.38 | $35.48 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $23.44 Typical High $89.13 | Professional | 56 · Pre-op care only | $14.45 | $23.44 | $89.13 |
Where Virginia sits
The same service costs 7.6 times more in Colorado 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· 32nd of 51
$191
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.