How much rates vary
Facilitymedian $631 · 10th to 90th $437 to $1,349Professionalmedian $525 · 10th to 90th $417 to $724
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 $354.81 Median $436.52 Typical High $436.52 | Facility | None | $354.81 | $436.52 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $436.52 Typical High $478.63 | Professional | None | $354.81 | $436.52 | $478.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $954.99 | Facility | None | $891.25 | $891.25 | $954.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $602.56 | Professional | None | $524.81 | $524.81 | $602.56 |
CareFirst Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $616.60 | Professional | None | $467.74 | $467.74 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $562.34 Typical High $562.34 | Facility | None | $380.19 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $562.34 | Professional | None | $416.87 | $416.87 | $562.34 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $891.25 Typical High $1,148.15 | Professional | None | $630.96 | $891.25 | $1,148.15 |
Medcost Setting Professional Modifier None Typical Low $524.81 Median $588.84 Typical High $812.83 | Professional | None | $524.81 | $588.84 | $812.83 |
Medcost Setting Facility Modifier None Typical Low $309.03 Median $478.63 Typical High $575.44 | Facility | None | $309.03 | $478.63 | $575.44 |
Medcost Setting Professional Modifier None Typical Low $446.68 Median $588.84 Typical High $1,122.02 | Professional | None | $446.68 | $588.84 | $1,122.02 |
Sentara Setting Facility Modifier None Typical Low $436.52 Median $616.60 Typical High $1,905.46 | Facility | None | $436.52 | $616.60 | $1,905.46 |
Sentara Setting Professional Modifier None Typical Low $478.63 Median $660.69 Typical High $1,348.96 | Professional | None | $478.63 | $660.69 | $1,348.96 |
United Setting Facility Modifier None Typical Low $549.54 Median $660.69 Typical High $1,202.26 | Facility | None | $549.54 | $660.69 | $1,202.26 |
United Setting Professional Modifier None Typical Low $398.11 Median $436.52 Typical High $660.69 | Professional | None | $398.11 | $436.52 | $660.69 |
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 $177.83 Median $213.80 Typical High $239.88 | Professional | 52 · Reduced service | $177.83 | $213.80 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $87.10 Typical High $95.50 | Professional | 53 · Discontinued | $70.79 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $64.57 Typical High $70.79 | Professional | 55 · Aftercare only | $53.70 | $64.57 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $43.65 Typical High $47.86 | Professional | 56 · Pre-op care only | $35.48 | $43.65 | $47.86 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $53.70 Median $53.70 Typical High $69.18 | Professional | RR · Rental | $53.70 | $53.70 | $69.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $398.11 Median $407.38 Typical High $426.58 | Professional | UE · Used equipment | $398.11 | $407.38 | $426.58 |
Where Virginia sits
The same service costs 3.6 times more in Hawaii than in Kansas. 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· 37th of 51
$525
HI $1,230KS $339
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.