How much rates vary
Facilitymedian $1,445 · 10th to 90th $1,023 to $3,162Professionalmedian $1,148 · 10th to 90th $933 to $1,698
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 $851.14 Median $1,023.29 Typical High $1,023.29 | Facility | None | $851.14 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $1,023.29 Typical High $1,023.29 | Professional | None | $851.14 | $1,023.29 | $1,023.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,238.72 | Facility | None | $2,137.96 | $2,137.96 | $2,238.72 |
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 $1,122.02 Median $1,122.02 Typical High $1,445.44 | Professional | None | $1,122.02 | $1,122.02 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,122.02 | $1,288.25 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,288.25 | Professional | None | $933.25 | $933.25 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,479.11 Median $2,137.96 Typical High $2,754.23 | Professional | None | $1,479.11 | $2,137.96 | $2,754.23 |
Medcost Setting Professional Modifier None Typical Low $1,258.93 Median $1,380.38 Typical High $1,949.84 | Professional | None | $1,258.93 | $1,380.38 | $1,949.84 |
Medcost Setting Facility Modifier None Typical Low $660.69 Median $1,148.15 Typical High $1,380.38 | Facility | None | $660.69 | $1,148.15 | $1,380.38 |
Medcost Setting Professional Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $2,630.27 | Professional | None | $1,047.13 | $1,148.15 | $2,630.27 |
Sentara Setting Facility Modifier None Typical Low $1,023.29 Median $1,445.44 Typical High $4,570.88 | Facility | None | $1,023.29 | $1,445.44 | $4,570.88 |
Sentara Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $3,162.28 | Professional | None | $1,148.15 | $1,548.82 | $3,162.28 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $1,318.26 Typical High $2,570.40 | Facility | None | $1,258.93 | $1,318.26 | $2,570.40 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,047.13 Typical High $1,548.82 | Professional | None | $933.25 | $1,047.13 | $1,548.82 |
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 $426.58 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $426.58 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $169.82 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $154.88 Typical High $154.88 | Professional | 55 · Aftercare only | $128.82 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $102.33 Typical High $102.33 | Professional | 56 · Pre-op care only | $85.11 | $102.33 | $102.33 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $117.49 Median $117.49 Typical High $151.36 | Professional | RR · Rental | $117.49 | $117.49 | $151.36 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $851.14 Median $870.96 Typical High $912.01 | Professional | UE · Used equipment | $851.14 | $870.96 | $912.01 |
Where Virginia sits
The same service costs 3.2 times more in Hawaii than in Alabama. 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· 40th of 51
$1,148
HI $3,020AL $933
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.