How much rates vary
Facilitymedian $813 · 10th to 90th $575 to $1,778Professionalmedian $661 · 10th to 90th $537 to $977
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 $478.63 Median $575.44 Typical High $575.44 | Facility | None | $478.63 | $575.44 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $575.44 Typical High $575.44 | Professional | None | $478.63 | $575.44 | $575.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,258.93 | Facility | None | $1,174.90 | $1,174.90 | $1,258.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $812.83 | Professional | None | $660.69 | $660.69 | $812.83 |
CareFirst Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $812.83 | Professional | None | $630.96 | $630.96 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $741.31 Typical High $741.31 | Facility | None | $489.78 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $741.31 | Professional | None | $537.03 | $537.03 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $1,174.90 Typical High $1,548.82 | Professional | None | $831.76 | $1,174.90 | $1,548.82 |
Medcost Setting Professional Modifier None Typical Low $707.95 Median $776.25 Typical High $1,096.48 | Professional | None | $707.95 | $776.25 | $1,096.48 |
Medcost Setting Facility Modifier None Typical Low $363.08 Median $630.96 Typical High $776.25 | Facility | None | $363.08 | $630.96 | $776.25 |
Medcost Setting Professional Modifier None Typical Low $524.81 Median $630.96 Typical High $1,479.11 | Professional | None | $524.81 | $630.96 | $1,479.11 |
Sentara Setting Facility Modifier None Typical Low $575.44 Median $812.83 Typical High $2,570.40 | Facility | None | $575.44 | $812.83 | $2,570.40 |
Sentara Setting Professional Modifier None Typical Low $630.96 Median $870.96 Typical High $1,778.28 | Professional | None | $630.96 | $870.96 | $1,778.28 |
United Setting Facility Modifier None Typical Low $645.65 Median $691.83 Typical High $1,412.54 | Facility | None | $645.65 | $691.83 | $1,412.54 |
United Setting Professional Modifier None Typical Low $512.86 Median $575.44 Typical High $870.96 | Professional | None | $512.86 | $575.44 | $870.96 |
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 $239.88 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $239.88 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $95.50 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $87.10 Typical High $87.10 | Professional | 55 · Aftercare only | $70.79 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $57.54 Typical High $57.54 | Professional | 56 · Pre-op care only | $47.86 | $57.54 | $57.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $66.07 Median $66.07 Typical High $81.28 | Professional | RR · Rental | $66.07 | $66.07 | $81.28 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | UE · Used equipment | $489.78 | $489.78 | $489.78 |
Where Virginia sits
The same service costs 3.0 times more in Hawaii than in Vermont. 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· 30th of 51
$661
HI $1,622VT $537
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.