How much rates vary
Facilitymedian $191 · 10th to 90th $138 to $372Professionalmedian $129 · 10th to 90th $126 to $219
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 $109.65 Median $162.18 Typical High $354.81 | Facility | None | $109.65 | $162.18 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $169.82 | Professional | None | $109.65 | $131.83 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $288.40 | Facility | None | $269.15 | $269.15 | $288.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $144.54 | Professional | None | $125.89 | $125.89 | $144.54 |
CareFirst Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $186.21 | Professional | None | $144.54 | $144.54 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $177.83 Typical High $190.55 | Facility | None | $141.25 | $177.83 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $177.83 | Professional | None | $128.82 | $128.82 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $269.15 Typical High $354.81 | Professional | None | $190.55 | $269.15 | $354.81 |
Medcost Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $251.19 | Professional | None | $177.83 | $177.83 | $251.19 |
Medcost Setting Facility Modifier None Typical Low $95.50 Median $144.54 Typical High $177.83 | Facility | None | $95.50 | $144.54 | $177.83 |
Medcost Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $338.84 | Professional | None | $123.03 | $144.54 | $338.84 |
Sentara Setting Facility Modifier None Typical Low $131.83 Median $190.55 Typical High $588.84 | Facility | None | $131.83 | $190.55 | $588.84 |
Sentara Setting Professional Modifier None Typical Low $144.54 Median $199.53 Typical High $407.38 | Professional | None | $144.54 | $199.53 | $407.38 |
United Setting Facility Modifier None Typical Low $177.83 Median $186.21 Typical High $363.08 | Facility | None | $177.83 | $186.21 | $363.08 |
United Setting Professional Modifier None Typical Low $120.23 Median $131.83 Typical High $199.53 | Professional | None | $120.23 | $131.83 | $199.53 |
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 $54.95 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $54.95 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $21.88 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $19.95 Typical High $19.95 | Professional | 55 · Aftercare only | $16.22 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $13.18 Typical High $13.18 | Professional | 56 · Pre-op care only | $10.96 | $13.18 | $13.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $12.88 Median $12.88 Typical High $21.38 | Professional | RR · Rental | $12.88 | $12.88 | $21.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $95.50 Typical High $102.33 | Professional | UE · Used equipment | $93.33 | $95.50 | $102.33 |
Where Virginia sits
The same service costs 3.5 times more in Hawaii 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· 45th of 51
$132
HI $457DE $129
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.