How much rates vary
Facilitymedian $1,023 · 10th to 90th $724 to $2,239Professionalmedian $832 · 10th to 90th $646 to $1,202
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 $794.33 | Professional | None | $602.56 | $724.44 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,584.89 | Facility | None | $1,479.11 | $1,479.11 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $933.25 | Professional | None | $831.76 | $831.76 | $933.25 |
CareFirst Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,023.29 | Professional | None | $776.25 | $776.25 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $891.25 Typical High $891.25 | Facility | None | $588.84 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,479.11 Typical High $1,949.84 | Professional | None | $1,047.13 | $1,479.11 | $1,949.84 |
Medcost Setting Professional Modifier None Typical Low $870.96 Median $977.24 Typical High $1,380.38 | Professional | None | $870.96 | $977.24 | $1,380.38 |
Medcost Setting Facility Modifier None Typical Low $489.78 Median $794.33 Typical High $977.24 | Facility | None | $489.78 | $794.33 | $977.24 |
Medcost Setting Professional Modifier None Typical Low $707.95 Median $933.25 Typical High $1,862.09 | Professional | None | $707.95 | $933.25 | $1,862.09 |
Sentara Setting Facility Modifier None Typical Low $724.44 Median $1,023.29 Typical High $3,235.94 | Facility | None | $724.44 | $1,023.29 | $3,235.94 |
Sentara Setting Professional Modifier None Typical Low $794.33 Median $1,096.48 Typical High $2,238.72 | Professional | None | $794.33 | $1,096.48 | $2,238.72 |
United Setting Facility Modifier None Typical Low $851.14 Median $870.96 Typical High $1,862.09 | Facility | None | $851.14 | $870.96 | $1,862.09 |
United Setting Professional Modifier None Typical Low $660.69 Median $724.44 Typical High $1,096.48 | Professional | None | $660.69 | $724.44 | $1,096.48 |
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 $389.05 | Professional | 52 · Reduced service | $302.00 | $363.08 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $144.54 Typical High $158.49 | Professional | 53 · Discontinued | $120.23 | $144.54 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $109.65 Typical High $117.49 | Professional | 55 · Aftercare only | $89.13 | $109.65 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $72.44 Typical High $79.43 | Professional | 56 · Pre-op care only | $60.26 | $72.44 | $79.43 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $85.11 Median $85.11 Typical High $112.20 | Professional | RR · Rental | $85.11 | $85.11 | $112.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $616.60 Median $645.65 Typical High $676.08 | Professional | UE · Used equipment | $616.60 | $645.65 | $676.08 |
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· 37th of 51
$832
HI $1,905DE $646
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.