How much rates vary
Facilitymedian $1,698 · 10th to 90th $1,148 to $3,548Professionalmedian $1,380 · 10th to 90th $1,148 to $1,950
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 $933.25 Median $1,148.15 Typical High $1,148.15 | Facility | None | $933.25 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $1,148.15 Typical High $1,148.15 | Professional | None | $933.25 | $1,148.15 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,511.89 | Facility | None | $2,344.23 | $2,344.23 | $2,511.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,698.24 | Professional | None | $1,380.38 | $1,380.38 | $1,698.24 |
CareFirst Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,621.81 | Professional | None | $1,230.27 | $1,230.27 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,023.29 | $1,698.24 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,698.24 | Professional | None | $1,230.27 | $1,230.27 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,659.59 Median $2,344.23 Typical High $3,019.95 | Professional | None | $1,659.59 | $2,344.23 | $3,019.95 |
Medcost Setting Professional Modifier None Typical Low $1,380.38 Median $1,548.82 Typical High $2,137.96 | Professional | None | $1,380.38 | $1,548.82 | $2,137.96 |
Medcost Setting Facility Modifier None Typical Low $812.83 Median $1,258.93 Typical High $1,548.82 | Facility | None | $812.83 | $1,258.93 | $1,548.82 |
Medcost Setting Professional Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $2,951.21 | Professional | None | $1,023.29 | $1,348.96 | $2,951.21 |
Sentara Setting Facility Modifier None Typical Low $1,148.15 Median $1,621.81 Typical High $4,897.79 | Facility | None | $1,148.15 | $1,621.81 | $4,897.79 |
Sentara Setting Professional Modifier None Typical Low $1,258.93 Median $1,737.80 Typical High $3,548.13 | Professional | None | $1,258.93 | $1,737.80 | $3,548.13 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $3,090.30 | Facility | None | $1,513.56 | $1,513.56 | $3,090.30 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $1,737.80 | Professional | None | $1,047.13 | $1,148.15 | $1,737.80 |
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 $467.74 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $467.74 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $190.55 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $169.82 Typical High $173.78 | Professional | 55 · Aftercare only | $141.25 | $169.82 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $93.33 | $114.82 | $114.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $138.04 Median $138.04 Typical High $177.83 | Professional | RR · Rental | $138.04 | $138.04 | $177.83 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,047.13 Median $1,047.13 Typical High $1,122.02 | Professional | UE · Used equipment | $1,047.13 | $1,047.13 | $1,122.02 |
Where Virginia sits
The same service costs 2.8 times more in Hawaii than in Arizona. 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· 31st of 51
$1,380
HI $3,388AZ $1,230
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.