How much rates vary
Facilitymedian $251 · 10th to 90th $178 to $537Professionalmedian $204 · 10th to 90th $166 to $309
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 $144.54 Median $173.78 Typical High $173.78 | Facility | None | $144.54 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $173.78 Typical High $407.38 | Professional | None | $144.54 | $173.78 | $407.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $380.19 | Facility | None | $363.08 | $363.08 | $380.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $234.42 | Professional | None | $204.17 | $204.17 | $234.42 |
CareFirst Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $245.47 | Professional | None | $190.55 | $190.55 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $229.09 Typical High $245.47 | Facility | None | $181.97 | $229.09 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $229.09 | Professional | None | $165.96 | $165.96 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $251.19 Median $363.08 Typical High $467.74 | Professional | None | $251.19 | $363.08 | $467.74 |
Medcost Setting Professional Modifier None Typical Low $213.80 Median $234.42 Typical High $331.13 | Professional | None | $213.80 | $234.42 | $331.13 |
Medcost Setting Facility Modifier None Typical Low $120.23 Median $194.98 Typical High $234.42 | Facility | None | $120.23 | $194.98 | $234.42 |
Medcost Setting Professional Modifier None Typical Low $173.78 Median $194.98 Typical High $446.68 | Professional | None | $173.78 | $194.98 | $446.68 |
Sentara Setting Facility Modifier None Typical Low $173.78 Median $245.47 Typical High $776.25 | Facility | None | $173.78 | $245.47 | $776.25 |
Sentara Setting Professional Modifier None Typical Low $194.98 Median $263.03 Typical High $537.03 | Professional | None | $194.98 | $263.03 | $537.03 |
United Setting Facility Modifier None Typical Low $229.09 Median $251.19 Typical High $467.74 | Facility | None | $229.09 | $251.19 | $467.74 |
United Setting Professional Modifier None Typical Low $158.49 Median $177.83 Typical High $263.03 | Professional | None | $158.49 | $177.83 | $263.03 |
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 $72.44 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $72.44 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $28.84 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $26.30 Typical High $26.30 | Professional | 55 · Aftercare only | $21.88 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $17.38 Typical High $17.38 | Professional | 56 · Pre-op care only | $14.45 | $17.38 | $17.38 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $21.38 Median $21.38 Typical High $27.54 | Professional | RR · Rental | $21.38 | $21.38 | $27.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $154.88 Median $158.49 Typical High $165.96 | Professional | UE · Used equipment | $154.88 | $158.49 | $165.96 |
Where Virginia sits
The same service costs 3.5 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
$204
HI $589DE $166
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.