How much rates vary
Facilitymedian $437 · 10th to 90th $309 to $977Professionalmedian $331 · 10th to 90th $240 to $562
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 $257.04 Median $309.03 Typical High $309.03 | Facility | None | $257.04 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $309.03 Typical High $309.03 | Professional | None | $257.04 | $309.03 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $691.83 | Facility | None | $645.65 | $645.65 | $691.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $436.52 | Professional | None | $331.13 | $331.13 | $436.52 |
CareFirst Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $446.68 | Professional | None | $338.84 | $338.84 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $331.13 Typical High $331.13 | Facility | None | $234.42 | $331.13 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $331.13 | Professional | None | $239.88 | $239.88 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $645.65 Typical High $831.76 | Professional | None | $446.68 | $645.65 | $831.76 |
Medcost Setting Professional Modifier None Typical Low $380.19 Median $426.58 Typical High $588.84 | Professional | None | $380.19 | $426.58 | $588.84 |
Medcost Setting Facility Modifier None Typical Low $186.21 Median $346.74 Typical High $416.87 | Facility | None | $186.21 | $346.74 | $416.87 |
Medcost Setting Professional Modifier None Typical Low $245.47 Median $323.59 Typical High $812.83 | Professional | None | $245.47 | $323.59 | $812.83 |
Sentara Setting Facility Modifier None Typical Low $316.23 Median $446.68 Typical High $1,380.38 | Facility | None | $316.23 | $446.68 | $1,380.38 |
Sentara Setting Professional Modifier None Typical Low $346.74 Median $478.63 Typical High $977.24 | Professional | None | $346.74 | $478.63 | $977.24 |
United Setting Facility Modifier None Typical Low $354.81 Median $363.08 Typical High $724.44 | Facility | None | $354.81 | $363.08 | $724.44 |
United Setting Professional Modifier None Typical Low $263.03 Median $316.23 Typical High $478.63 | Professional | None | $263.03 | $316.23 | $478.63 |
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 $128.82 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $128.82 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $51.29 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $46.77 Typical High $46.77 | Professional | 55 · Aftercare only | $38.90 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $30.90 Typical High $30.90 | Professional | 56 · Pre-op care only | $25.70 | $30.90 | $30.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $33.11 Median $33.11 Typical High $40.74 | Professional | RR · Rental | $33.11 | $33.11 | $40.74 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $239.88 Median $251.19 Typical High $251.19 | Professional | UE · Used equipment | $239.88 | $251.19 | $251.19 |
Where Virginia sits
The same service costs 4.1 times more in Hawaii than in Florida. 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· 31st of 51
$331
HI $1,000FL $245
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.