How much rates vary
Facilitymedian $398 · 10th to 90th $275 to $871Professionalmedian $339 · 10th to 90th $275 to $479
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 $234.42 Median $281.84 Typical High $281.84 | Facility | None | $234.42 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $281.84 Typical High $295.12 | Professional | None | $234.42 | $281.84 | $295.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $616.60 | Facility | None | $575.44 | $575.44 | $616.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $416.87 | Professional | None | $338.84 | $338.84 | $416.87 |
CareFirst Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $398.11 | Professional | None | $302.00 | $302.00 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $371.54 Typical High $371.54 | Facility | None | $251.19 | $371.54 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $371.54 | Professional | None | $275.42 | $275.42 | $371.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $575.44 Typical High $758.58 | Professional | None | $407.38 | $575.44 | $758.58 |
Medcost Setting Professional Modifier None Typical Low $338.84 Median $380.19 Typical High $537.03 | Professional | None | $338.84 | $380.19 | $537.03 |
Medcost Setting Facility Modifier None Typical Low $199.53 Median $309.03 Typical High $380.19 | Facility | None | $199.53 | $309.03 | $380.19 |
Medcost Setting Professional Modifier None Typical Low $251.19 Median $331.13 Typical High $724.44 | Professional | None | $251.19 | $331.13 | $724.44 |
Sentara Setting Facility Modifier None Typical Low $281.84 Median $407.38 Typical High $1,258.93 | Facility | None | $281.84 | $407.38 | $1,258.93 |
Sentara Setting Professional Modifier None Typical Low $309.03 Median $426.58 Typical High $870.96 | Professional | None | $309.03 | $426.58 | $870.96 |
United Setting Facility Modifier None Typical Low $269.15 Median $371.54 Typical High $758.58 | Facility | None | $269.15 | $371.54 | $758.58 |
United Setting Professional Modifier None Typical Low $257.04 Median $281.84 Typical High $426.58 | Professional | None | $257.04 | $281.84 | $426.58 |
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 $117.49 Median $141.25 Typical High $147.91 | Professional | 52 · Reduced service | $117.49 | $141.25 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $56.23 Typical High $58.88 | Professional | 53 · Discontinued | $46.77 | $56.23 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $42.66 Typical High $43.65 | Professional | 55 · Aftercare only | $34.67 | $42.66 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $28.18 Typical High $29.51 | Professional | 56 · Pre-op care only | $23.44 | $28.18 | $29.51 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $33.88 Median $33.88 Typical High $44.67 | Professional | RR · Rental | $33.88 | $33.88 | $44.67 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | UE · Used equipment | $257.04 | $257.04 | $257.04 |
Where Virginia sits
The same service costs 3.0 times more in Hawaii than in Vermont. 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
$339
HI $813VT $275
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.