How much rates vary
Facilitymedian $1,000 · 10th to 90th $692 to $2,138Professionalmedian $794 · 10th to 90th $603 to $1,175
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 $575.44 Median $691.83 Typical High $691.83 | Facility | None | $575.44 | $691.83 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $691.83 Typical High $691.83 | Professional | None | $575.44 | $691.83 | $691.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,513.56 | Facility | None | $1,412.54 | $1,412.54 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $891.25 | Professional | None | $794.33 | $794.33 | $891.25 |
CareFirst Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $977.24 | Professional | None | $741.31 | $741.31 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $831.76 Typical High $831.76 | Facility | None | $741.31 | $831.76 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $831.76 | Professional | None | $602.56 | $602.56 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,000.00 Median $1,412.54 Typical High $1,862.09 | Professional | None | $1,000.00 | $1,412.54 | $1,862.09 |
Medcost Setting Professional Modifier None Typical Low $831.76 Median $933.25 Typical High $1,318.26 | Professional | None | $831.76 | $933.25 | $1,318.26 |
Medcost Setting Facility Modifier None Typical Low $467.74 Median $758.58 Typical High $933.25 | Facility | None | $467.74 | $758.58 | $933.25 |
Medcost Setting Professional Modifier None Typical Low $645.65 Median $758.58 Typical High $1,778.28 | Professional | None | $645.65 | $758.58 | $1,778.28 |
Sentara Setting Facility Modifier None Typical Low $691.83 Median $977.24 Typical High $3,090.30 | Facility | None | $691.83 | $977.24 | $3,090.30 |
Sentara Setting Professional Modifier None Typical Low $758.58 Median $1,047.13 Typical High $2,137.96 | Professional | None | $758.58 | $1,047.13 | $2,137.96 |
United Setting Facility Modifier None Typical Low $870.96 Median $1,348.96 Typical High $1,778.28 | Facility | None | $870.96 | $1,348.96 | $1,778.28 |
United Setting Professional Modifier None Typical Low $630.96 Median $691.83 Typical High $1,047.13 | Professional | None | $630.96 | $691.83 | $1,047.13 |
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 $288.40 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $288.40 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $114.82 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $85.11 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $57.54 | $69.18 | $69.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $81.28 Median $81.28 Typical High $102.33 | Professional | RR · Rental | $81.28 | $81.28 | $102.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $616.60 Typical High $616.60 | Professional | UE · Used equipment | $588.84 | $616.60 | $616.60 |
Where Virginia sits
The same service costs 5.4 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· 32nd of 51
$794
HI $3,236DE $603
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.