How much rates vary
Facilitymedian $1,514 · 10th to 90th $1,072 to $3,311Professionalmedian $1,259 · 10th to 90th $955 to $1,778
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 $891.25 Median $1,071.52 Typical High $1,071.52 | Facility | None | $891.25 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,071.52 | Professional | None | $891.25 | $1,071.52 | $1,071.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,344.23 | Facility | None | $2,187.76 | $2,187.76 | $2,344.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,412.54 | Professional | None | $1,258.93 | $1,258.93 | $1,412.54 |
CareFirst Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,513.56 | Professional | None | $1,148.15 | $1,148.15 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,148.15 | $1,318.26 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,318.26 | Professional | None | $954.99 | $954.99 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,548.82 Median $2,187.76 Typical High $2,884.03 | Professional | None | $1,548.82 | $2,187.76 | $2,884.03 |
Medcost Setting Professional Modifier None Typical Low $1,288.25 Median $1,445.44 Typical High $2,041.74 | Professional | None | $1,288.25 | $1,445.44 | $2,041.74 |
Medcost Setting Facility Modifier None Typical Low $741.31 Median $1,174.90 Typical High $1,445.44 | Facility | None | $741.31 | $1,174.90 | $1,445.44 |
Medcost Setting Professional Modifier None Typical Low $1,174.90 Median $1,258.93 Typical High $2,754.23 | Professional | None | $1,174.90 | $1,258.93 | $2,754.23 |
Sentara Setting Facility Modifier None Typical Low $1,071.52 Median $1,513.56 Typical High $4,570.88 | Facility | None | $1,071.52 | $1,513.56 | $4,570.88 |
Sentara Setting Professional Modifier None Typical Low $1,174.90 Median $1,621.81 Typical High $3,311.31 | Professional | None | $1,174.90 | $1,621.81 | $3,311.31 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $2,818.38 | Facility | None | $1,122.02 | $1,258.93 | $2,818.38 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,071.52 Typical High $1,621.81 | Professional | None | $977.24 | $1,071.52 | $1,621.81 |
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 $446.68 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $446.68 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $177.83 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $131.83 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $89.13 | $107.15 | $107.15 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $128.82 Median $128.82 Typical High $165.96 | Professional | RR · Rental | $128.82 | $128.82 | $165.96 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $954.99 Median $977.24 Typical High $1,023.29 | Professional | UE · Used equipment | $954.99 | $977.24 | $1,023.29 |
Where Virginia sits
The same service costs 2.9 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· 40th of 51
$1,259
HI $2,754DE $955
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.