How much rates vary
Facilitymedian $1,318 · 10th to 90th $912 to $2,692Professionalmedian $1,148 · 10th to 90th $871 to $1,514
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 $724.44 Median $870.96 Typical High $870.96 | Facility | None | $724.44 | $870.96 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $870.96 Typical High $912.01 | Professional | None | $724.44 | $870.96 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,905.46 | Facility | None | $1,819.70 | $1,819.70 | $1,905.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,288.25 | Professional | None | $1,148.15 | $1,148.15 | $1,288.25 |
CareFirst Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,230.27 | Professional | None | $954.99 | $954.99 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,174.90 Typical High $1,174.90 | Facility | None | $933.25 | $1,174.90 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,174.90 | Professional | None | $870.96 | $870.96 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,258.93 Median $1,819.70 Typical High $2,344.23 | Professional | None | $1,258.93 | $1,819.70 | $2,344.23 |
Medcost Setting Professional Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $1,659.59 | Professional | None | $1,071.52 | $1,174.90 | $1,659.59 |
Medcost Setting Facility Modifier None Typical Low $630.96 Median $977.24 Typical High $1,174.90 | Facility | None | $630.96 | $977.24 | $1,174.90 |
Medcost Setting Professional Modifier None Typical Low $794.33 Median $1,047.13 Typical High $2,238.72 | Professional | None | $794.33 | $1,047.13 | $2,238.72 |
Sentara Setting Facility Modifier None Typical Low $870.96 Median $1,230.27 Typical High $3,890.45 | Facility | None | $870.96 | $1,230.27 | $3,890.45 |
Sentara Setting Professional Modifier None Typical Low $977.24 Median $1,318.26 Typical High $2,691.53 | Professional | None | $977.24 | $1,318.26 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $2,398.83 | Facility | None | $1,174.90 | $1,479.11 | $2,398.83 |
United Setting Professional Modifier None Typical Low $794.33 Median $870.96 Typical High $1,318.26 | Professional | None | $794.33 | $870.96 | $1,318.26 |
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 $363.08 Median $436.52 Typical High $457.09 | Professional | 52 · Reduced service | $363.08 | $436.52 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $173.78 Typical High $181.97 | Professional | 53 · Discontinued | $144.54 | $173.78 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $131.83 Typical High $138.04 | Professional | 55 · Aftercare only | $107.15 | $131.83 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $87.10 Typical High $91.20 | Professional | 56 · Pre-op care only | $72.44 | $87.10 | $91.20 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $117.49 Median $117.49 Typical High $147.91 | Professional | RR · Rental | $117.49 | $117.49 | $147.91 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $851.14 Median $870.96 Typical High $870.96 | Professional | UE · Used equipment | $851.14 | $870.96 | $870.96 |
Where Virginia sits
The same service costs 4.0 times more in Hawaii than in Pennsylvania. 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· 37th of 51
$1,148
HI $3,467PA $871
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.