How much rates vary
Facilitymedian $832 · 10th to 90th $589 to $1,820Professionalmedian $708 · 10th to 90th $537 to $977
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 $478.63 Median $588.84 Typical High $588.84 | Facility | None | $478.63 | $588.84 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $588.84 Typical High $588.84 | Professional | None | $478.63 | $588.84 | $588.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,288.25 | Facility | None | $1,202.26 | $1,202.26 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $812.83 | Professional | None | $707.95 | $707.95 | $812.83 |
CareFirst Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $831.76 | Professional | None | $630.96 | $630.96 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $741.31 Typical High $741.31 | Facility | None | $512.86 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $741.31 | Professional | None | $537.03 | $537.03 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $1,202.26 Typical High $1,548.82 | Professional | None | $831.76 | $1,202.26 | $1,548.82 |
Medcost Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,096.48 | Professional | None | $794.33 | $794.33 | $1,096.48 |
Medcost Setting Facility Modifier None Typical Low $416.87 Median $645.65 Typical High $776.25 | Facility | None | $416.87 | $645.65 | $776.25 |
Medcost Setting Professional Modifier None Typical Low $645.65 Median $660.69 Typical High $1,513.56 | Professional | None | $645.65 | $660.69 | $1,513.56 |
Sentara Setting Facility Modifier None Typical Low $588.84 Median $831.76 Typical High $2,570.40 | Facility | None | $588.84 | $831.76 | $2,570.40 |
Sentara Setting Professional Modifier None Typical Low $645.65 Median $891.25 Typical High $1,819.70 | Professional | None | $645.65 | $891.25 | $1,819.70 |
United Setting Facility Modifier None Typical Low $776.25 Median $912.01 Typical High $1,584.89 | Facility | None | $776.25 | $912.01 | $1,584.89 |
United Setting Professional Modifier None Typical Low $537.03 Median $588.84 Typical High $891.25 | Professional | None | $537.03 | $588.84 | $891.25 |
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 $239.88 Median $288.40 Typical High $295.12 | Professional | 52 · Reduced service | $239.88 | $288.40 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $95.50 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $87.10 Typical High $87.10 | Professional | 55 · Aftercare only | $72.44 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $58.88 Typical High $58.88 | Professional | 56 · Pre-op care only | $47.86 | $58.88 | $58.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $74.13 Median $74.13 Typical High $93.33 | Professional | RR · Rental | $74.13 | $74.13 | $93.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $537.03 Median $549.54 Typical High $575.44 | Professional | UE · Used equipment | $537.03 | $549.54 | $575.44 |
Where Virginia sits
The same service costs 4.6 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
$708
HI $2,455DE $537
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.