How much rates vary
Facilitymedian $1,660 · 10th to 90th $1,175 to $3,631Professionalmedian $1,479 · 10th to 90th $1,122 to $1,995
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 $954.99 Median $1,174.90 Typical High $1,174.90 | Facility | None | $954.99 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,174.90 Typical High $1,258.93 | Professional | None | $954.99 | $1,174.90 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,570.40 | Facility | None | $2,398.83 | $2,398.83 | $2,570.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,819.70 | Professional | None | $1,479.11 | $1,479.11 | $1,819.70 |
CareFirst Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,659.59 | Professional | None | $1,258.93 | $1,258.93 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,148.15 | $1,548.82 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,548.82 | Professional | None | $1,122.02 | $1,122.02 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,698.24 Median $2,398.83 Typical High $3,090.30 | Professional | None | $1,698.24 | $2,398.83 | $3,090.30 |
Medcost Setting Professional Modifier None Typical Low $1,412.54 Median $1,584.89 Typical High $2,187.76 | Professional | None | $1,412.54 | $1,584.89 | $2,187.76 |
Medcost Setting Facility Modifier None Typical Low $831.76 Median $1,288.25 Typical High $1,548.82 | Facility | None | $831.76 | $1,288.25 | $1,548.82 |
Medcost Setting Professional Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $3,019.95 | Professional | None | $1,047.13 | $1,412.54 | $3,019.95 |
Sentara Setting Facility Modifier None Typical Low $1,174.90 Median $1,659.59 Typical High $5,011.87 | Facility | None | $1,174.90 | $1,659.59 | $5,011.87 |
Sentara Setting Professional Modifier None Typical Low $1,288.25 Median $1,778.28 Typical High $3,630.78 | Professional | None | $1,288.25 | $1,778.28 | $3,630.78 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $3,235.94 | Facility | None | $1,584.89 | $1,659.59 | $3,235.94 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $1,778.28 | Professional | None | $1,071.52 | $1,174.90 | $1,778.28 |
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 $478.63 Median $575.44 Typical High $630.96 | Professional | 52 · Reduced service | $478.63 | $575.44 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $234.42 Typical High $251.19 | Professional | 53 · Discontinued | $190.55 | $234.42 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $173.78 Typical High $190.55 | Professional | 55 · Aftercare only | $144.54 | $173.78 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $117.49 Typical High $125.89 | Professional | 56 · Pre-op care only | $95.50 | $117.49 | $125.89 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $147.91 Median $147.91 Typical High $190.55 | Professional | RR · Rental | $147.91 | $147.91 | $190.55 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,122.02 Median $1,122.02 Typical High $1,202.26 | Professional | UE · Used equipment | $1,122.02 | $1,122.02 | $1,202.26 |
Where Virginia sits
The same service costs 3.1 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· 31st of 51
$1,479
HI $3,467DE $1,122
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.