How much rates vary
Facilitymedian $575 · 10th to 90th $407 to $1,259Professionalmedian $490 · 10th to 90th $372 to $692
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 $338.84 Median $407.38 Typical High $407.38 | Facility | None | $338.84 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $407.38 Typical High $426.58 | Professional | None | $338.84 | $407.38 | $426.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $891.25 | Facility | None | $831.76 | $831.76 | $891.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $549.54 | Professional | None | $489.78 | $489.78 | $549.54 |
CareFirst Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $575.44 | Professional | None | $436.52 | $436.52 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $512.86 Typical High $512.86 | Facility | None | $416.87 | $512.86 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $512.86 | Professional | None | $371.54 | $371.54 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $588.84 Median $831.76 Typical High $1,096.48 | Professional | None | $588.84 | $831.76 | $1,096.48 |
Medcost Setting Professional Modifier None Typical Low $489.78 Median $549.54 Typical High $776.25 | Professional | None | $489.78 | $549.54 | $776.25 |
Medcost Setting Facility Modifier None Typical Low $288.40 Median $446.68 Typical High $549.54 | Facility | None | $288.40 | $446.68 | $549.54 |
Medcost Setting Professional Modifier None Typical Low $426.58 Median $537.03 Typical High $1,047.13 | Professional | None | $426.58 | $537.03 | $1,047.13 |
Sentara Setting Facility Modifier None Typical Low $407.38 Median $575.44 Typical High $1,819.70 | Facility | None | $407.38 | $575.44 | $1,819.70 |
Sentara Setting Professional Modifier None Typical Low $446.68 Median $616.60 Typical High $1,258.93 | Professional | None | $446.68 | $616.60 | $1,258.93 |
United Setting Facility Modifier None Typical Low $478.63 Median $549.54 Typical High $1,122.02 | Facility | None | $478.63 | $549.54 | $1,122.02 |
United Setting Professional Modifier None Typical Low $371.54 Median $407.38 Typical High $616.60 | Professional | None | $371.54 | $407.38 | $616.60 |
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 $169.82 Median $204.17 Typical High $213.80 | Professional | 52 · Reduced service | $169.82 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $81.28 Typical High $85.11 | Professional | 53 · Discontinued | $67.61 | $81.28 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $60.26 Typical High $63.10 | Professional | 55 · Aftercare only | $50.12 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $40.74 Typical High $42.66 | Professional | 56 · Pre-op care only | $33.88 | $40.74 | $42.66 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $50.12 Median $50.12 Typical High $66.07 | Professional | RR · Rental | $50.12 | $50.12 | $66.07 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $363.08 Median $380.19 Typical High $380.19 | Professional | UE · Used equipment | $363.08 | $380.19 | $380.19 |
Where Virginia sits
The same service costs 3.2 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
$490
HI $1,202DE $372
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.