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 $2,884.03 Median $3,019.95 Typical High $5,370.32 | Facility | None | $2,884.03 | $3,019.95 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,019.95 | Professional | None | $2,884.03 | $2,884.03 | $3,019.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $5,888.44 Typical High $9,332.54 | Facility | None | $2,818.38 | $5,888.44 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
CareFirst Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,818.38 | $2,818.38 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $4,168.69 Median $5,888.44 Typical High $7,413.10 | Facility | None | $4,168.69 | $5,888.44 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,454.71 Median $2,884.03 Typical High $3,311.31 | Professional | None | $2,454.71 | $2,884.03 | $3,311.31 |
Medcost Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $4,073.80 | Facility | None | $2,818.38 | $2,818.38 | $4,073.80 |
Medcost Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,235.94 | Professional | None | $2,454.71 | $2,454.71 | $3,235.94 |
Sentara Setting Facility Modifier None Typical Low $2,630.27 Median $2,951.21 Typical High $3,801.89 | Facility | None | $2,630.27 | $2,951.21 | $3,801.89 |
Sentara Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,090.30 | Professional | None | $2,884.03 | $2,884.03 | $3,090.30 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
United Setting Professional Modifier None Typical Low $2,818.38 Median $3,019.95 Typical High $3,162.28 | Professional | None | $2,818.38 | $3,019.95 | $3,162.28 |
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 $1,445.44 Median $1,445.44 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,445.44 | $1,445.44 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $575.44 Typical High $602.56 | Professional | 53 · Discontinued | $575.44 | $575.44 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $426.58 Typical High $457.09 | Professional | 55 · Aftercare only | $426.58 | $426.58 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $288.40 Median $288.40 Typical High $302.00 | Professional | 56 · Pre-op care only | $288.40 | $288.40 | $302.00 |
Where Virginia sits
Rates are fairly even across states for this service. 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· 42nd of 51
$2,884
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.