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 $28.18 Median $36.31 Typical High $66.07 | Facility | None | $28.18 | $36.31 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $29.51 | Professional | None | $28.18 | $28.18 | $29.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $28.18 Typical High $28.18 | Professional | None | $23.99 | $28.18 | $28.18 |
CareFirst Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $24.55 | Professional | None | $16.22 | $16.22 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $52.48 Typical High $72.44 | Facility | None | $40.74 | $52.48 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.99 Median $29.51 Typical High $46.77 | Professional | None | $23.99 | $29.51 | $46.77 |
Medcost Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Medcost Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $30.90 | Facility | None | $24.55 | $24.55 | $30.90 |
Sentara Setting Facility Modifier None Typical Low $28.84 Median $38.90 Typical High $41.69 | Facility | None | $28.84 | $38.90 | $41.69 |
Sentara Setting Professional Modifier None Typical Low $28.84 Median $38.90 Typical High $41.69 | Professional | None | $28.84 | $38.90 | $41.69 |
United Setting Professional Modifier None Typical Low $23.44 Median $24.55 Typical High $25.70 | Professional | None | $23.44 | $24.55 | $25.70 |
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 $14.13 Median $14.13 Typical High $14.79 | Professional | 52 · Reduced service | $14.13 | $14.13 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $5.89 | Professional | 53 · Discontinued | $5.62 | $5.62 | $5.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $4.27 Typical High $4.47 | Professional | 55 · Aftercare only | $4.27 | $4.27 | $4.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $2.82 Typical High $2.95 | Professional | 56 · Pre-op care only | $2.82 | $2.82 | $2.95 |
Where Virginia sits
The same service costs 2.2 times more in Alaska than in Oklahoma. 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· 23rd of 51
$28.18
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.