How much rates vary
Facilitymedian $501 · 10th to 90th $331 to $1,047Professionalmedian $372 · 10th to 90th $282 to $646
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 $275.42 Median $331.13 Typical High $331.13 | Facility | None | $275.42 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $331.13 Typical High $331.13 | Professional | None | $275.42 | $331.13 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $724.44 | Facility | None | $691.83 | $691.83 | $724.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $478.63 Typical High $630.96 | Professional | None | $323.59 | $478.63 | $630.96 |
CareFirst Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $478.63 | Professional | None | $380.19 | $380.19 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $389.05 Typical High $389.05 | Facility | None | $302.00 | $389.05 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $389.05 | Professional | None | $281.84 | $281.84 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $478.63 Median $691.83 Typical High $891.25 | Professional | None | $478.63 | $691.83 | $891.25 |
Medcost Setting Professional Modifier None Typical Low $407.38 Median $457.09 Typical High $630.96 | Professional | None | $407.38 | $457.09 | $630.96 |
Medcost Setting Facility Modifier None Typical Low $218.78 Median $371.54 Typical High $446.68 | Facility | None | $218.78 | $371.54 | $446.68 |
Medcost Setting Professional Modifier None Typical Low $371.54 Median $416.87 Typical High $870.96 | Professional | None | $371.54 | $416.87 | $870.96 |
Sentara Setting Facility Modifier None Typical Low $338.84 Median $489.78 Typical High $1,479.11 | Facility | None | $338.84 | $489.78 | $1,479.11 |
Sentara Setting Professional Modifier None Typical Low $371.54 Median $512.86 Typical High $1,047.13 | Professional | None | $371.54 | $512.86 | $1,047.13 |
United Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $1,000.00 | Facility | None | $851.14 | $851.14 | $1,000.00 |
United Setting Professional Modifier None Typical Low $302.00 Median $338.84 Typical High $512.86 | Professional | None | $302.00 | $338.84 | $512.86 |
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 $138.04 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $138.04 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $54.95 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $50.12 Typical High $50.12 | Professional | 55 · Aftercare only | $41.69 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $33.11 Typical High $33.11 | Professional | 56 · Pre-op care only | $27.54 | $33.11 | $33.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.02 Median $38.02 Typical High $48.98 | Professional | RR · Rental | $38.02 | $38.02 | $48.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $281.84 Median $281.84 Typical High $302.00 | Professional | UE · Used equipment | $281.84 | $281.84 | $302.00 |
Where Virginia sits
The same service costs 2.5 times more in Iowa 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
$380
IA $708DE $282
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.