How much rates vary
Facilitymedian $1,950 · 10th to 90th $1,514 to $4,365Professionalmedian $1,738 · 10th to 90th $1,259 to $2,570
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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,090.30 | Facility | None | $2,951.21 | $2,951.21 | $3,090.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,290.87 | Professional | None | $1,737.80 | $1,737.80 | $2,290.87 |
CareFirst Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,995.26 | Professional | None | $1,548.82 | $1,548.82 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,548.82 | $1,737.80 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,737.80 | Professional | None | $1,258.93 | $1,258.93 | $1,737.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,041.74 Median $2,951.21 Typical High $3,801.89 | Professional | None | $2,041.74 | $2,951.21 | $3,801.89 |
Medcost Setting Professional Modifier None Typical Low $1,737.80 Median $1,905.46 Typical High $2,691.53 | Professional | None | $1,737.80 | $1,905.46 | $2,691.53 |
Medcost Setting Facility Modifier None Typical Low $977.24 Median $1,584.89 Typical High $1,905.46 | Facility | None | $977.24 | $1,584.89 | $1,905.46 |
Medcost Setting Professional Modifier None Typical Low $1,348.96 Median $1,621.81 Typical High $1,905.46 | Professional | None | $1,348.96 | $1,621.81 | $1,905.46 |
Sentara Setting Facility Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $6,025.60 | Facility | None | $1,412.54 | $1,995.26 | $6,025.60 |
Sentara Setting Professional Modifier None Typical Low $1,584.89 Median $2,137.96 Typical High $4,365.16 | Professional | None | $1,584.89 | $2,137.96 | $4,365.16 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $3,801.89 | Facility | None | $1,445.44 | $1,621.81 | $3,801.89 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,445.44 Typical High $2,137.96 | Professional | None | $1,318.26 | $1,445.44 | $2,137.96 |
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 $758.58 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $309.03 | Professional | 53 · Discontinued | $302.00 | $302.00 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 55 · Aftercare only | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 56 · Pre-op care only | $151.36 | $151.36 | $151.36 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $173.78 Median $173.78 Typical High $223.87 | Professional | RR · Rental | $173.78 | $173.78 | $223.87 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,258.93 Median $1,318.26 Typical High $1,380.38 | Professional | UE · Used equipment | $1,258.93 | $1,318.26 | $1,380.38 |
Where Virginia sits
The same service costs 2.7 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· 32nd of 51
$1,738
HI $3,388DE $1,259
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.