How much rates vary
Facilitymedian $372 · 10th to 90th $257 to $813Professionalmedian $324 · 10th to 90th $257 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 $213.80 Median $257.04 Typical High $257.04 | Facility | None | $213.80 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $257.04 Typical High $302.00 | Professional | None | $213.80 | $257.04 | $302.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $562.34 | Facility | None | $537.03 | $537.03 | $562.34 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $389.05 | Professional | None | $323.59 | $323.59 | $389.05 |
CareFirst Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $363.08 | Professional | None | $281.84 | $281.84 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $371.54 Typical High $371.54 | Facility | None | $223.87 | $371.54 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $371.54 | Professional | None | $275.42 | $275.42 | $371.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $537.03 Typical High $691.83 | Professional | None | $371.54 | $537.03 | $691.83 |
Medcost Setting Professional Modifier None Typical Low $316.23 Median $346.74 Typical High $489.78 | Professional | None | $316.23 | $346.74 | $489.78 |
Medcost Setting Facility Modifier None Typical Low $186.21 Median $288.40 Typical High $346.74 | Facility | None | $186.21 | $288.40 | $346.74 |
Medcost Setting Professional Modifier None Typical Low $269.15 Median $354.81 Typical High $660.69 | Professional | None | $269.15 | $354.81 | $660.69 |
Sentara Setting Facility Modifier None Typical Low $257.04 Median $371.54 Typical High $1,148.15 | Facility | None | $257.04 | $371.54 | $1,148.15 |
Sentara Setting Professional Modifier None Typical Low $288.40 Median $389.05 Typical High $812.83 | Professional | None | $288.40 | $389.05 | $812.83 |
United Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $707.95 | Facility | None | $346.74 | $346.74 | $707.95 |
United Setting Professional Modifier None Typical Low $234.42 Median $263.03 Typical High $398.11 | Professional | None | $234.42 | $263.03 | $398.11 |
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 $107.15 Median $128.82 Typical High $151.36 | Professional | 52 · Reduced service | $107.15 | $128.82 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $51.29 Typical High $60.26 | Professional | 53 · Discontinued | $42.66 | $51.29 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $38.90 Typical High $44.67 | Professional | 55 · Aftercare only | $32.36 | $38.90 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $25.70 Typical High $30.20 | Professional | 56 · Pre-op care only | $21.38 | $25.70 | $30.20 |
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 4.5 times more in Hawaii than in Kansas. 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 $912KS $204
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.