How much rates vary
Facilitymedian $2,291 · 10th to 90th $1,585 to $5,012Professionalmedian $1,950 · 10th to 90th $1,479 to $2,692
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 $1,318.26 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,318.26 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,584.89 Typical High $1,737.80 | Professional | None | $1,318.26 | $1,584.89 | $1,737.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,467.37 | Facility | None | $3,311.31 | $3,311.31 | $3,467.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,344.23 | Professional | None | $1,949.84 | $1,949.84 | $2,344.23 |
CareFirst Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,238.72 | Professional | None | $1,737.80 | $1,737.80 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,584.89 | $1,995.26 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,479.11 | $1,479.11 | $1,995.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,290.87 Median $3,311.31 Typical High $4,265.80 | Professional | None | $2,290.87 | $3,311.31 | $4,265.80 |
Medcost Setting Professional Modifier None Typical Low $1,949.84 Median $2,137.96 Typical High $3,019.95 | Professional | None | $1,949.84 | $2,137.96 | $3,019.95 |
Medcost Setting Facility Modifier None Typical Low $1,148.15 Median $1,778.28 Typical High $2,137.96 | Facility | None | $1,148.15 | $1,778.28 | $2,137.96 |
Medcost Setting Professional Modifier None Typical Low $1,445.44 Median $1,905.46 Typical High $4,073.80 | Professional | None | $1,445.44 | $1,905.46 | $4,073.80 |
Sentara Setting Facility Modifier None Typical Low $1,621.81 Median $2,290.87 Typical High $6,760.83 | Facility | None | $1,621.81 | $2,290.87 | $6,760.83 |
Sentara Setting Professional Modifier None Typical Low $1,778.28 Median $2,398.83 Typical High $5,011.87 | Professional | None | $1,778.28 | $2,398.83 | $5,011.87 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $2,951.21 Typical High $4,365.16 | Facility | None | $2,137.96 | $2,951.21 | $4,365.16 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $2,398.83 | Professional | None | $1,445.44 | $1,621.81 | $2,398.83 |
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 $660.69 Median $794.33 Typical High $870.96 | Professional | 52 · Reduced service | $660.69 | $794.33 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $316.23 Typical High $346.74 | Professional | 53 · Discontinued | $263.03 | $316.23 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $239.88 Typical High $263.03 | Professional | 55 · Aftercare only | $199.53 | $239.88 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $158.49 Typical High $173.78 | Professional | 56 · Pre-op care only | $131.83 | $158.49 | $173.78 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $194.98 Median $194.98 Typical High $257.04 | Professional | RR · Rental | $194.98 | $194.98 | $257.04 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,479.11 Median $1,479.11 Typical High $1,584.89 | Professional | UE · Used equipment | $1,479.11 | $1,479.11 | $1,584.89 |
Where Virginia sits
The same service costs 4.4 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· 28th of 51
$1,950
HI $6,457DE $1,479
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.