How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,778 to $5,129Professionalmedian $1,995 · 10th to 90th $1,660 to $2,754
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 $1,737.80 Median $1,737.80 Typical High $1,778.28 | Facility | None | $1,737.80 | $1,737.80 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,778.28 | Professional | None | $1,737.80 | $1,737.80 | $1,778.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,548.13 | Facility | None | $3,388.44 | $3,388.44 | $3,548.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,454.71 | Professional | None | $1,995.26 | $1,995.26 | $2,454.71 |
CareFirst Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,344.23 | Professional | None | $1,778.28 | $1,778.28 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,454.71 Typical High $2,454.71 | Facility | None | $1,659.59 | $2,454.71 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,454.71 | Professional | None | $1,819.70 | $1,819.70 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,344.23 Median $3,388.44 Typical High $4,365.16 | Professional | None | $2,344.23 | $3,388.44 | $4,365.16 |
Medcost Setting Professional Modifier None Typical Low $2,137.96 Median $2,187.76 Typical High $3,090.30 | Professional | None | $2,137.96 | $2,187.76 | $3,090.30 |
Medcost Setting Facility Modifier None Typical Low $1,174.90 Median $1,819.70 Typical High $2,187.76 | Facility | None | $1,174.90 | $1,819.70 | $2,187.76 |
Medcost Setting Professional Modifier None Typical Low $1,584.89 Median $1,862.09 Typical High $2,187.76 | Professional | None | $1,584.89 | $1,862.09 | $2,187.76 |
Sentara Setting Facility Modifier None Typical Low $1,659.59 Median $2,344.23 Typical High $6,918.31 | Facility | None | $1,659.59 | $2,344.23 | $6,918.31 |
Sentara Setting Professional Modifier None Typical Low $1,819.70 Median $2,511.89 Typical High $5,128.61 | Professional | None | $1,819.70 | $2,511.89 | $5,128.61 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,290.87 Typical High $4,466.84 | Facility | None | $2,187.76 | $2,290.87 | $4,466.84 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $1,659.59 Typical High $2,570.40 | Professional | None | $1,548.82 | $1,659.59 | $2,570.40 |
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 $870.96 Median $870.96 Typical High $891.25 | Professional | 52 · Reduced service | $870.96 | $870.96 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $354.81 | Professional | 53 · Discontinued | $346.74 | $346.74 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 55 · Aftercare only | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $173.78 Typical High $177.83 | Professional | 56 · Pre-op care only | $173.78 | $173.78 | $177.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $199.53 Median $199.53 Typical High $263.03 | Professional | RR · Rental | $199.53 | $199.53 | $263.03 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,479.11 Median $1,479.11 Typical High $1,621.81 | Professional | UE · Used equipment | $1,479.11 | $1,479.11 | $1,621.81 |
Where Virginia sits
The same service costs 3.2 times more in Hawaii than in Washington, DC. 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
$1,995
HI $5,623DC $1,778
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.