How much rates vary
Facilitymedian $1,413 · 10th to 90th $1,000 to $3,090Professionalmedian $1,122 · 10th to 90th $851 to $1,660
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 $831.76 Median $1,000.00 Typical High $1,000.00 | Facility | None | $831.76 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $1,000.00 Typical High $1,000.00 | Professional | None | $831.76 | $1,000.00 | $1,000.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,187.76 | Facility | None | $2,041.74 | $2,041.74 | $2,187.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,288.25 | Professional | None | $1,122.02 | $1,122.02 | $1,288.25 |
CareFirst Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,412.54 | Professional | None | $1,096.48 | $1,096.48 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,071.52 | $1,174.90 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,174.90 | Professional | None | $851.14 | $851.14 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,445.44 Median $2,041.74 Typical High $2,691.53 | Professional | None | $1,445.44 | $2,041.74 | $2,691.53 |
Medcost Setting Professional Modifier None Typical Low $1,202.26 Median $1,348.96 Typical High $1,905.46 | Professional | None | $1,202.26 | $1,348.96 | $1,905.46 |
Medcost Setting Facility Modifier None Typical Low $660.69 Median $1,096.48 Typical High $1,348.96 | Facility | None | $660.69 | $1,096.48 | $1,348.96 |
Medcost Setting Professional Modifier None Typical Low $1,071.52 Median $1,096.48 Typical High $2,570.40 | Professional | None | $1,071.52 | $1,096.48 | $2,570.40 |
Sentara Setting Facility Modifier None Typical Low $1,000.00 Median $1,412.54 Typical High $4,466.84 | Facility | None | $1,000.00 | $1,412.54 | $4,466.84 |
Sentara Setting Professional Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $3,090.30 | Professional | None | $1,096.48 | $1,513.56 | $3,090.30 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $2,570.40 | Facility | None | $1,122.02 | $1,258.93 | $2,570.40 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,000.00 Typical High $1,513.56 | Professional | None | $912.01 | $1,000.00 | $1,513.56 |
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 $416.87 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $416.87 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $165.96 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $151.36 Typical High $151.36 | Professional | 55 · Aftercare only | $123.03 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $100.00 Typical High $100.00 | Professional | 56 · Pre-op care only | $83.18 | $100.00 | $100.00 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $117.49 Median $117.49 Typical High $147.91 | Professional | RR · Rental | $117.49 | $117.49 | $147.91 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $851.14 Median $870.96 Typical High $912.01 | Professional | UE · Used equipment | $851.14 | $870.96 | $912.01 |
Where Virginia sits
The same service costs 3.3 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· 36th of 51
$1,122
HI $2,818DE $851
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.