How much rates vary
Facilitymedian $501 · 10th to 90th $331 to $1,122Professionalmedian $372 · 10th to 90th $295 to $589
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 $295.12 Median $354.81 Typical High $354.81 | Facility | None | $295.12 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $354.81 Typical High $354.81 | Professional | None | $295.12 | $354.81 | $354.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $776.25 | Facility | None | $741.31 | $741.31 | $776.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $426.58 | Professional | None | $371.54 | $371.54 | $426.58 |
CareFirst Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $501.19 | Professional | None | $389.05 | $389.05 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $398.11 Typical High $398.11 | Facility | None | $346.74 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $398.11 | Professional | None | $295.12 | $295.12 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $741.31 Typical High $954.99 | Professional | None | $512.86 | $741.31 | $954.99 |
Medcost Setting Professional Modifier None Typical Low $436.52 Median $478.63 Typical High $676.08 | Professional | None | $436.52 | $478.63 | $676.08 |
Medcost Setting Facility Modifier None Typical Low $229.09 Median $398.11 Typical High $478.63 | Facility | None | $229.09 | $398.11 | $478.63 |
Medcost Setting Professional Modifier None Typical Low $363.08 Median $398.11 Typical High $912.01 | Professional | None | $363.08 | $398.11 | $912.01 |
Sentara Setting Facility Modifier None Typical Low $354.81 Median $512.86 Typical High $1,584.89 | Facility | None | $354.81 | $512.86 | $1,584.89 |
Sentara Setting Professional Modifier None Typical Low $398.11 Median $537.03 Typical High $1,122.02 | Professional | None | $398.11 | $537.03 | $1,122.02 |
United Setting Facility Modifier None Typical Low $295.12 Median $331.13 Typical High $870.96 | Facility | None | $295.12 | $331.13 | $870.96 |
United Setting Professional Modifier None Typical Low $316.23 Median $363.08 Typical High $537.03 | Professional | None | $316.23 | $363.08 | $537.03 |
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 $147.91 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $147.91 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $58.88 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $53.70 Typical High $53.70 | Professional | 55 · Aftercare only | $44.67 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $35.48 Typical High $35.48 | Professional | 56 · Pre-op care only | $29.51 | $35.48 | $35.48 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.90 Median $38.90 Typical High $51.29 | Professional | RR · Rental | $38.90 | $38.90 | $51.29 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $281.84 Median $288.40 Typical High $288.40 | Professional | UE · Used equipment | $281.84 | $288.40 | $288.40 |
Where Virginia sits
The same service costs 3.0 times more in Montana than in Florida. 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· 41st of 51
$372
MT $871FL $295
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.