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 $91.20 Median $112.20 Typical High $114.82 | Facility | None | $91.20 | $112.20 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $112.20 | Professional | None | $91.20 | $91.20 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $104.71 Typical High $128.82 | Professional | None | $87.10 | $104.71 | $128.82 |
CareFirst Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $102.33 | Professional | None | $85.11 | $85.11 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $95.50 Median $109.65 Typical High $141.25 | Professional | None | $95.50 | $109.65 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $95.50 Median $141.25 Typical High $165.96 | Facility | None | $95.50 | $141.25 | $165.96 |
Medcost Setting Professional Modifier None Typical Low $41.69 Median $44.67 Typical High $93.33 | Professional | None | $41.69 | $44.67 | $93.33 |
Sentara Setting Facility Modifier None Typical Low $67.61 Median $128.82 Typical High $10,232.93 | Facility | None | $67.61 | $128.82 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $53.70 Median $107.15 Typical High $144.54 | Professional | None | $53.70 | $107.15 | $144.54 |
United Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
United Setting Professional Modifier None Typical Low $66.07 Median $83.18 Typical High $141.25 | Professional | None | $66.07 | $83.18 | $141.25 |
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 $45.71 Median $45.71 Typical High $56.23 | Professional | 52 · Reduced service | $45.71 | $45.71 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $22.39 | Professional | 53 · Discontinued | $18.62 | $18.62 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $13.80 Typical High $16.60 | Professional | 55 · Aftercare only | $13.80 | $13.80 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.12 Typical High $11.22 | Professional | 56 · Pre-op care only | $9.12 | $9.12 | $11.22 |
Where Virginia sits
The same service costs 3.3 times more in Alaska than in Kentucky. 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· 22nd of 51
$97.72
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.