How much rates vary
Facilitymedian $977 · 10th to 90th $676 to $2,089Professionalmedian $813 · 10th to 90th $631 to $1,148
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 $562.34 Median $676.08 Typical High $676.08 | Facility | None | $562.34 | $676.08 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $676.08 Typical High $707.95 | Professional | None | $562.34 | $676.08 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,479.11 | Facility | None | $1,412.54 | $1,412.54 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $912.01 | Professional | None | $812.83 | $812.83 | $912.01 |
CareFirst Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $954.99 | Professional | None | $741.31 | $741.31 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $851.14 Typical High $851.14 | Facility | None | $588.84 | $851.14 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $851.14 | Professional | None | $630.96 | $630.96 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $977.24 Median $1,412.54 Typical High $1,819.70 | Professional | None | $977.24 | $1,412.54 | $1,819.70 |
Medcost Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $1,288.25 | Professional | None | $831.76 | $912.01 | $1,288.25 |
Medcost Setting Facility Modifier None Typical Low $489.78 Median $758.58 Typical High $912.01 | Facility | None | $489.78 | $758.58 | $912.01 |
Medcost Setting Professional Modifier None Typical Low $616.60 Median $812.83 Typical High $1,737.80 | Professional | None | $616.60 | $812.83 | $1,737.80 |
Sentara Setting Facility Modifier None Typical Low $676.08 Median $954.99 Typical High $3,019.95 | Facility | None | $676.08 | $954.99 | $3,019.95 |
Sentara Setting Professional Modifier None Typical Low $758.58 Median $1,023.29 Typical High $2,089.30 | Professional | None | $758.58 | $1,023.29 | $2,089.30 |
United Setting Facility Modifier None Typical Low $912.01 Median $1,318.26 Typical High $1,862.09 | Facility | None | $912.01 | $1,318.26 | $1,862.09 |
United Setting Professional Modifier None Typical Low $616.60 Median $691.83 Typical High $1,023.29 | Professional | None | $616.60 | $691.83 | $1,023.29 |
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 $281.84 Median $338.84 Typical High $354.81 | Professional | 52 · Reduced service | $281.84 | $338.84 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $134.90 Typical High $141.25 | Professional | 53 · Discontinued | $112.20 | $134.90 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $102.33 Typical High $107.15 | Professional | 55 · Aftercare only | $85.11 | $102.33 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $67.61 Typical High $70.79 | Professional | 56 · Pre-op care only | $56.23 | $67.61 | $70.79 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $83.18 Median $83.18 Typical High $107.15 | Professional | RR · Rental | $83.18 | $83.18 | $107.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $602.56 Median $616.60 Typical High $616.60 | Professional | UE · Used equipment | $602.56 | $616.60 | $616.60 |
Where Virginia sits
The same service costs 5.1 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· 33rd of 51
$813
HI $3,236DE $631
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.