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 $41.69 Median $41.69 Typical High $43.65 | Facility | None | $41.69 | $41.69 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $43.65 | Professional | None | $41.69 | $41.69 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $39.81 Median $85.11 Typical High $134.90 | Facility | None | $39.81 | $85.11 | $134.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $41.69 Typical High $41.69 | Professional | None | $35.48 | $41.69 | $41.69 |
CareFirst Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $39.81 | Professional | None | $38.02 | $38.02 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $77.62 Typical High $107.15 | Facility | None | $60.26 | $77.62 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $35.48 Median $43.65 Typical High $50.12 | Professional | None | $35.48 | $43.65 | $50.12 |
Medcost Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Medcost Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $57.54 | Facility | None | $41.69 | $41.69 | $57.54 |
Sentara Setting Facility Modifier None Typical Low $38.02 Median $41.69 Typical High $54.95 | Facility | None | $38.02 | $41.69 | $54.95 |
Sentara Setting Professional Modifier None Typical Low $38.02 Median $41.69 Typical High $54.95 | Professional | None | $38.02 | $41.69 | $54.95 |
United Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
United Setting Professional Modifier None Typical Low $38.90 Median $39.81 Typical High $41.69 | Professional | None | $38.90 | $39.81 | $41.69 |
2 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 $6.17 Median $6.31 Typical High $6.46 | Professional | 55 · Aftercare only | $6.17 | $6.31 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.17 Typical High $4.37 | Professional | 56 · Pre-op care only | $4.17 | $4.17 | $4.37 |
Where Virginia sits
The same service costs 1.7 times more in Arizona than in Nebraska. 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· 38th of 51
$41.69
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.