How much rates vary
Facilitymedian $380 · 10th to 90th $263 to $832Professionalmedian $324 · 10th to 90th $245 to $447
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 $218.78 Median $263.03 Typical High $263.03 | Facility | None | $218.78 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $263.03 Typical High $269.15 | Professional | None | $218.78 | $263.03 | $269.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $575.44 | Facility | None | $549.54 | $549.54 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $398.11 | Professional | None | $323.59 | $323.59 | $398.11 |
CareFirst Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $371.54 | Professional | None | $288.40 | $288.40 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $338.84 Typical High $338.84 | Facility | None | $251.19 | $338.84 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $338.84 | Professional | None | $245.47 | $245.47 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $707.95 | Professional | None | $380.19 | $549.54 | $707.95 |
Medcost Setting Professional Modifier None Typical Low $323.59 Median $354.81 Typical High $501.19 | Professional | None | $323.59 | $354.81 | $501.19 |
Medcost Setting Facility Modifier None Typical Low $190.55 Median $295.12 Typical High $354.81 | Facility | None | $190.55 | $295.12 | $354.81 |
Medcost Setting Professional Modifier None Typical Low $245.47 Median $309.03 Typical High $691.83 | Professional | None | $245.47 | $309.03 | $691.83 |
Sentara Setting Facility Modifier None Typical Low $269.15 Median $380.19 Typical High $1,174.90 | Facility | None | $269.15 | $380.19 | $1,174.90 |
Sentara Setting Professional Modifier None Typical Low $295.12 Median $407.38 Typical High $831.76 | Professional | None | $295.12 | $407.38 | $831.76 |
United Setting Facility Modifier None Typical Low $354.81 Median $407.38 Typical High $724.44 | Facility | None | $354.81 | $407.38 | $724.44 |
United Setting Professional Modifier None Typical Low $239.88 Median $269.15 Typical High $407.38 | Professional | None | $239.88 | $269.15 | $407.38 |
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 $109.65 Median $131.83 Typical High $134.90 | Professional | 52 · Reduced service | $109.65 | $131.83 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $52.48 Typical High $53.70 | Professional | 53 · Discontinued | $43.65 | $52.48 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $39.81 Typical High $40.74 | Professional | 55 · Aftercare only | $33.11 | $39.81 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $26.30 Typical High $26.92 | Professional | 56 · Pre-op care only | $21.88 | $26.30 | $26.92 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $32.36 Median $32.36 Typical High $42.66 | Professional | RR · Rental | $32.36 | $32.36 | $42.66 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | UE · Used equipment | $239.88 | $239.88 | $239.88 |
Where Virginia sits
The same service costs 4.2 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· 37th of 51
$324
HI $1,023DE $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.