How much rates vary
Facilitymedian $1,148 · 10th to 90th $759 to $2,291Professionalmedian $912 · 10th to 90th $741 to $1,259
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 $602.56 Median $741.31 Typical High $741.31 | Facility | None | $602.56 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $741.31 Typical High $758.58 | Professional | None | $602.56 | $741.31 | $758.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,621.81 | Facility | None | $1,513.56 | $1,513.56 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,122.02 | Professional | None | $912.01 | $912.01 | $1,122.02 |
CareFirst Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,047.13 | Professional | None | $870.96 | $870.96 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,148.15 Typical High $1,148.15 | Facility | None | $758.58 | $1,148.15 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,148.15 | Professional | None | $831.76 | $831.76 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,071.52 Median $1,513.56 Typical High $1,949.84 | Professional | None | $1,071.52 | $1,513.56 | $1,949.84 |
Medcost Setting Professional Modifier None Typical Low $933.25 Median $1,000.00 Typical High $1,380.38 | Professional | None | $933.25 | $1,000.00 | $1,380.38 |
Medcost Setting Facility Modifier None Typical Low $524.81 Median $812.83 Typical High $977.24 | Facility | None | $524.81 | $812.83 | $977.24 |
Medcost Setting Professional Modifier None Typical Low $660.69 Median $891.25 Typical High $1,905.46 | Professional | None | $660.69 | $891.25 | $1,905.46 |
Sentara Setting Facility Modifier None Typical Low $741.31 Median $1,047.13 Typical High $3,235.94 | Facility | None | $741.31 | $1,047.13 | $3,235.94 |
Sentara Setting Professional Modifier None Typical Low $812.83 Median $1,122.02 Typical High $2,290.87 | Professional | None | $812.83 | $1,122.02 | $2,290.87 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $2,041.74 | Facility | None | $1,000.00 | $1,258.93 | $2,041.74 |
United Setting Professional Modifier None Typical Low $676.08 Median $741.31 Typical High $1,122.02 | Professional | None | $676.08 | $741.31 | $1,122.02 |
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 $302.00 Median $363.08 Typical High $380.19 | Professional | 52 · Reduced service | $302.00 | $363.08 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $147.91 Typical High $154.88 | Professional | 53 · Discontinued | $120.23 | $147.91 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $109.65 Typical High $114.82 | Professional | 55 · Aftercare only | $91.20 | $109.65 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $74.13 Typical High $75.86 | Professional | 56 · Pre-op care only | $60.26 | $74.13 | $75.86 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $91.20 Median $91.20 Typical High $117.49 | Professional | RR · Rental | $91.20 | $91.20 | $117.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | UE · Used equipment | $676.08 | $676.08 | $676.08 |
Where Virginia sits
The same service costs 3.9 times more in Hawaii than in West Virginia. 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· 36th of 51
$912
HI $3,236WV $832
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.