How much rates vary
Facilitymedian $2,042 · 10th to 90th $1,549 to $4,467Professionalmedian $1,778 · 10th to 90th $1,318 to $2,455
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 $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,162.28 | Facility | None | $2,951.21 | $2,951.21 | $3,162.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,187.76 | Professional | None | $1,778.28 | $1,778.28 | $2,187.76 |
CareFirst Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $2,041.74 | Professional | None | $1,548.82 | $1,548.82 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,548.82 | $1,819.70 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,318.26 | $1,318.26 | $1,819.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,089.30 Median $2,951.21 Typical High $3,890.45 | Professional | None | $2,089.30 | $2,951.21 | $3,890.45 |
Medcost Setting Professional Modifier None Typical Low $1,737.80 Median $1,949.84 Typical High $2,754.23 | Professional | None | $1,737.80 | $1,949.84 | $2,754.23 |
Medcost Setting Facility Modifier None Typical Low $1,023.29 Median $1,584.89 Typical High $1,949.84 | Facility | None | $1,023.29 | $1,584.89 | $1,949.84 |
Medcost Setting Professional Modifier None Typical Low $1,584.89 Median $1,621.81 Typical High $2,290.87 | Professional | None | $1,584.89 | $1,621.81 | $2,290.87 |
Sentara Setting Facility Modifier None Typical Low $1,445.44 Median $2,041.74 Typical High $6,165.95 | Facility | None | $1,445.44 | $2,041.74 | $6,165.95 |
Sentara Setting Professional Modifier None Typical Low $1,584.89 Median $2,187.76 Typical High $4,466.84 | Professional | None | $1,584.89 | $2,187.76 | $4,466.84 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $2,041.74 Typical High $3,981.07 | Facility | None | $1,778.28 | $2,041.74 | $3,981.07 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,445.44 Typical High $2,238.72 | Professional | None | $1,348.96 | $1,445.44 | $2,238.72 |
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 $776.25 Median $776.25 Typical High $776.25 | Professional | 52 · Reduced service | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 53 · Discontinued | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $234.42 | Professional | 55 · Aftercare only | $229.09 | $229.09 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 56 · Pre-op care only | $154.88 | $154.88 | $154.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $177.83 Median $177.83 Typical High $234.42 | Professional | RR · Rental | $177.83 | $177.83 | $234.42 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,318.26 Median $1,318.26 Typical High $1,412.54 | Professional | UE · Used equipment | $1,318.26 | $1,318.26 | $1,412.54 |
Where Virginia sits
The same service costs 3.1 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
$1,778
HI $4,074DE $1,318
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.