How much rates vary
Facilitymedian $1,096 · 10th to 90th $759 to $2,399Professionalmedian $851 · 10th to 90th $646 to $1,288
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 $645.65 Median $776.25 Typical High $776.25 | Facility | None | $645.65 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $776.25 Typical High $776.25 | Professional | None | $645.65 | $776.25 | $776.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,698.24 | Facility | None | $1,584.89 | $1,584.89 | $1,698.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $977.24 | Professional | None | $851.14 | $851.14 | $977.24 |
CareFirst Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,096.48 | Professional | None | $831.76 | $831.76 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $891.25 Typical High $891.25 | Facility | None | $758.58 | $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 $1,122.02 Median $1,584.89 Typical High $2,089.30 | Professional | None | $1,122.02 | $1,584.89 | $2,089.30 |
Medcost Setting Professional Modifier None Typical Low $933.25 Median $1,047.13 Typical High $1,445.44 | Professional | None | $933.25 | $1,047.13 | $1,445.44 |
Medcost Setting Facility Modifier None Typical Low $501.19 Median $851.14 Typical High $1,047.13 | Facility | None | $501.19 | $851.14 | $1,047.13 |
Medcost Setting Professional Modifier None Typical Low $851.14 Median $977.24 Typical High $1,412.54 | Professional | None | $851.14 | $977.24 | $1,412.54 |
Sentara Setting Facility Modifier None Typical Low $776.25 Median $1,096.48 Typical High $3,388.44 | Facility | None | $776.25 | $1,096.48 | $3,388.44 |
Sentara Setting Professional Modifier None Typical Low $851.14 Median $1,174.90 Typical High $2,398.83 | Professional | None | $851.14 | $1,174.90 | $2,398.83 |
United Setting Facility Modifier None Typical Low $707.95 Median $870.96 Typical High $1,949.84 | Facility | None | $707.95 | $870.96 | $1,949.84 |
United Setting Professional Modifier None Typical Low $707.95 Median $776.25 Typical High $1,174.90 | Professional | None | $707.95 | $776.25 | $1,174.90 |
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 $316.23 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $316.23 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $128.82 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $95.50 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $64.57 | $77.62 | $77.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $89.13 Median $89.13 Typical High $114.82 | Professional | RR · Rental | $89.13 | $89.13 | $114.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $645.65 Median $660.69 Typical High $660.69 | Professional | UE · Used equipment | $645.65 | $660.69 | $660.69 |
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· 38th of 51
$851
HI $1,950DE $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.