How much rates vary
Facilitymedian $1,259 · 10th to 90th $813 to $2,512Professionalmedian $912 · 10th to 90th $692 to $1,549
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 $676.08 Median $812.83 Typical High $812.83 | Facility | None | $676.08 | $812.83 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $812.83 Typical High $812.83 | Professional | None | $676.08 | $812.83 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,778.28 | Facility | None | $1,698.24 | $1,698.24 | $1,778.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $776.25 Median $1,174.90 Typical High $1,548.82 | Professional | None | $776.25 | $1,174.90 | $1,548.82 |
CareFirst Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,148.15 | Professional | None | $1,000.00 | $1,000.00 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $933.25 Typical High $933.25 | Facility | None | $724.44 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $933.25 | Professional | None | $691.83 | $691.83 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,698.24 Typical High $2,187.76 | Professional | None | $1,174.90 | $1,698.24 | $2,187.76 |
Medcost Setting Professional Modifier None Typical Low $1,000.00 Median $1,096.48 Typical High $1,548.82 | Professional | None | $1,000.00 | $1,096.48 | $1,548.82 |
Medcost Setting Facility Modifier None Typical Low $537.03 Median $912.01 Typical High $1,096.48 | Facility | None | $537.03 | $912.01 | $1,096.48 |
Medcost Setting Professional Modifier None Typical Low $912.01 Median $1,023.29 Typical High $2,089.30 | Professional | None | $912.01 | $1,023.29 | $2,089.30 |
Sentara Setting Facility Modifier None Typical Low $812.83 Median $1,230.27 Typical High $4,570.88 | Facility | None | $812.83 | $1,230.27 | $4,570.88 |
Sentara Setting Professional Modifier None Typical Low $912.01 Median $1,230.27 Typical High $2,511.89 | Professional | None | $912.01 | $1,230.27 | $2,511.89 |
United Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,454.71 | Facility | None | $2,041.74 | $2,041.74 | $2,454.71 |
United Setting Professional Modifier None Typical Low $741.31 Median $812.83 Typical High $1,230.27 | Professional | None | $741.31 | $812.83 | $1,230.27 |
6 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 $338.84 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $338.84 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $134.90 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $100.00 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $67.61 | $81.28 | $81.28 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $91.20 Median $91.20 Typical High $120.23 | Professional | RR · Rental | $91.20 | $91.20 | $120.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $691.83 Median $691.83 Typical High $741.31 | Professional | UE · Used equipment | $691.83 | $691.83 | $741.31 |
Where Virginia sits
The same service costs 2.6 times more in Hawaii than in Delaware. 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· 27th of 51
$955
HI $1,778DE $692
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.