How much rates vary
Facilitymedian $355 · 10th to 90th $229 to $708Professionalmedian $282 · 10th to 90th $229 to $389
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 $190.55 Median $229.09 Typical High $229.09 | Facility | None | $190.55 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $229.09 Typical High $229.09 | Professional | None | $190.55 | $229.09 | $229.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $501.19 | Facility | None | $478.63 | $478.63 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $346.74 | Professional | None | $281.84 | $281.84 | $346.74 |
CareFirst Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $323.59 | Professional | None | $251.19 | $251.19 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $354.81 Typical High $354.81 | Facility | None | $213.80 | $354.81 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $354.81 | Professional | None | $257.04 | $257.04 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $478.63 Typical High $616.60 | Professional | None | $331.13 | $478.63 | $616.60 |
Medcost Setting Professional Modifier None Typical Low $281.84 Median $309.03 Typical High $436.52 | Professional | None | $281.84 | $309.03 | $436.52 |
Medcost Setting Facility Modifier None Typical Low $162.18 Median $257.04 Typical High $309.03 | Facility | None | $162.18 | $257.04 | $309.03 |
Medcost Setting Professional Modifier None Typical Low $245.47 Median $257.04 Typical High $588.84 | Professional | None | $245.47 | $257.04 | $588.84 |
Sentara Setting Facility Modifier None Typical Low $229.09 Median $331.13 Typical High $1,023.29 | Facility | None | $229.09 | $331.13 | $1,023.29 |
Sentara Setting Professional Modifier None Typical Low $257.04 Median $346.74 Typical High $707.95 | Professional | None | $257.04 | $346.74 | $707.95 |
United Setting Facility Modifier None Typical Low $234.42 Median $309.03 Typical High $630.96 | Facility | None | $234.42 | $309.03 | $630.96 |
United Setting Professional Modifier None Typical Low $208.93 Median $229.09 Typical High $346.74 | Professional | None | $208.93 | $229.09 | $346.74 |
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 $95.50 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $95.50 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $38.02 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $34.67 Typical High $34.67 | Professional | 55 · Aftercare only | $28.18 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $22.91 Typical High $22.91 | Professional | 56 · Pre-op care only | $19.05 | $22.91 | $22.91 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $28.18 Median $28.18 Typical High $35.48 | Professional | RR · Rental | $28.18 | $28.18 | $35.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | UE · Used equipment | $208.93 | $208.93 | $208.93 |
Where Virginia sits
The same service costs 3.5 times more in Hawaii than in Florida. 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· 30th of 51
$282
HI $832FL $240
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.