How much rates vary
Facilitymedian $550 · 10th to 90th $380 to $1,175Professionalmedian $380 · 10th to 90th $295 to $631
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 $316.23 Median $380.19 Typical High $588.84 | Facility | None | $316.23 | $380.19 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $380.19 Typical High $380.19 | Professional | None | $316.23 | $380.19 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $831.76 | Facility | None | $776.25 | $776.25 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $436.52 | Professional | None | $380.19 | $380.19 | $436.52 |
CareFirst Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $537.03 | Professional | None | $416.87 | $416.87 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $407.38 Typical High $407.38 | Facility | None | $331.13 | $407.38 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $407.38 | Professional | None | $295.12 | $295.12 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $549.54 Median $776.25 Typical High $1,023.29 | Professional | None | $549.54 | $776.25 | $1,023.29 |
Medcost Setting Professional Modifier None Typical Low $467.74 Median $512.86 Typical High $724.44 | Professional | None | $467.74 | $512.86 | $724.44 |
Medcost Setting Facility Modifier None Typical Low $229.09 Median $416.87 Typical High $512.86 | Facility | None | $229.09 | $416.87 | $512.86 |
Medcost Setting Professional Modifier None Typical Low $371.54 Median $407.38 Typical High $977.24 | Professional | None | $371.54 | $407.38 | $977.24 |
Sentara Setting Facility Modifier None Typical Low $380.19 Median $537.03 Typical High $1,698.24 | Facility | None | $380.19 | $537.03 | $1,698.24 |
Sentara Setting Professional Modifier None Typical Low $416.87 Median $575.44 Typical High $1,174.90 | Professional | None | $416.87 | $575.44 | $1,174.90 |
United Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $1,071.52 | Facility | None | $436.52 | $436.52 | $1,071.52 |
United Setting Professional Modifier None Typical Low $323.59 Median $380.19 Typical High $575.44 | Professional | None | $323.59 | $380.19 | $575.44 |
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 $158.49 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $158.49 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $63.10 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $57.54 Typical High $57.54 | Professional | 55 · Aftercare only | $46.77 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $38.02 Typical High $38.02 | Professional | 56 · Pre-op care only | $31.62 | $38.02 | $38.02 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $39.81 Median $39.81 Typical High $52.48 | Professional | RR · Rental | $39.81 | $39.81 | $52.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $295.12 Typical High $295.12 | Professional | UE · Used equipment | $288.40 | $295.12 | $295.12 |
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· 39th of 51
$389
HI $1,122DE $316
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.