How much rates vary
Facilitymedian $1,023 · 10th to 90th $724 to $2,291Professionalmedian $794 · 10th to 90th $617 to $1,230
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 $602.56 Median $724.44 Typical High $724.44 | Facility | None | $602.56 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $724.44 | Professional | None | $602.56 | $724.44 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,621.81 | Facility | None | $1,513.56 | $1,513.56 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $977.24 | Professional | None | $794.33 | $794.33 | $977.24 |
CareFirst Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,047.13 | Professional | None | $794.33 | $794.33 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $851.14 Typical High $851.14 | Facility | None | $660.69 | $851.14 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $851.14 | Professional | None | $616.60 | $616.60 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,513.56 Typical High $1,949.84 | Professional | None | $1,047.13 | $1,513.56 | $1,949.84 |
Medcost Setting Professional Modifier None Typical Low $891.25 Median $1,000.00 Typical High $1,380.38 | Professional | None | $891.25 | $1,000.00 | $1,380.38 |
Medcost Setting Facility Modifier None Typical Low $478.63 Median $812.83 Typical High $977.24 | Facility | None | $478.63 | $812.83 | $977.24 |
Medcost Setting Professional Modifier None Typical Low $812.83 Median $870.96 Typical High $1,905.46 | Professional | None | $812.83 | $870.96 | $1,905.46 |
Sentara Setting Facility Modifier None Typical Low $741.31 Median $1,047.13 Typical High $3,235.94 | Facility | None | $741.31 | $1,047.13 | $3,235.94 |
Sentara Setting Professional Modifier None Typical Low $812.83 Median $1,122.02 Typical High $2,290.87 | Professional | None | $812.83 | $1,122.02 | $2,290.87 |
United Setting Facility Modifier None Typical Low $630.96 Median $776.25 Typical High $1,819.70 | Facility | None | $630.96 | $776.25 | $1,819.70 |
United Setting Professional Modifier None Typical Low $660.69 Median $741.31 Typical High $1,122.02 | Professional | None | $660.69 | $741.31 | $1,122.02 |
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 $302.00 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $302.00 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $147.91 Typical High $147.91 | Professional | 53 · Discontinued | $120.23 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $91.20 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $60.26 | $72.44 | $72.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $79.43 Median $79.43 Typical High $107.15 | Professional | RR · Rental | $79.43 | $79.43 | $107.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | UE · Used equipment | $588.84 | $588.84 | $588.84 |
Where Virginia sits
The same service costs 3.0 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· 41st of 51
$794
HI $1,820DE $617
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.