How much rates vary
Facilitymedian $871 · 10th to 90th $646 to $1,905Professionalmedian $617 · 10th to 90th $513 to $1,072
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 $524.81 Median $645.65 Typical High $645.65 | Facility | None | $524.81 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $645.65 Typical High $1,548.82 | Professional | None | $524.81 | $645.65 | $1,548.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,412.54 | Facility | None | $1,318.26 | $1,318.26 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $741.31 | Professional | None | $616.60 | $616.60 | $741.31 |
CareFirst Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $912.01 | Professional | None | $691.83 | $691.83 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $707.95 Typical High $776.25 | Facility | None | $691.83 | $707.95 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $707.95 | Professional | None | $512.86 | $512.86 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $933.25 Median $1,318.26 Typical High $1,698.24 | Professional | None | $933.25 | $1,318.26 | $1,698.24 |
Medcost Setting Professional Modifier None Typical Low $776.25 Median $870.96 Typical High $1,202.26 | Professional | None | $776.25 | $870.96 | $1,202.26 |
Medcost Setting Facility Modifier None Typical Low $363.08 Median $707.95 Typical High $851.14 | Facility | None | $363.08 | $707.95 | $851.14 |
Medcost Setting Professional Modifier None Typical Low $616.60 Median $707.95 Typical High $1,659.59 | Professional | None | $616.60 | $707.95 | $1,659.59 |
Sentara Setting Facility Modifier None Typical Low $645.65 Median $912.01 Typical High $2,818.38 | Facility | None | $645.65 | $912.01 | $2,818.38 |
Sentara Setting Professional Modifier None Typical Low $707.95 Median $977.24 Typical High $1,995.26 | Professional | None | $707.95 | $977.24 | $1,995.26 |
United Setting Facility Modifier None Typical Low $478.63 Median $691.83 Typical High $1,412.54 | Facility | None | $478.63 | $691.83 | $1,412.54 |
United Setting Professional Modifier None Typical Low $512.86 Median $645.65 Typical High $977.24 | Professional | None | $512.86 | $645.65 | $977.24 |
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 $263.03 Median $316.23 Typical High $316.23 | Professional | 52 · Reduced service | $263.03 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $104.71 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $95.50 Typical High $95.50 | Professional | 55 · Aftercare only | $79.43 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $64.57 Typical High $64.57 | Professional | 56 · Pre-op care only | $52.48 | $64.57 | $64.57 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $61.66 Median $61.66 Typical High $81.28 | Professional | RR · Rental | $61.66 | $61.66 | $81.28 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | UE · Used equipment | $457.09 | $457.09 | $457.09 |
Where Virginia sits
The same service costs 3.4 times more in Hawaii than in Mississippi. 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· 35th of 51
$646
HI $1,738MS $513
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.