How much rates vary
Facilitymedian $1,514 · 10th to 90th $1,000 to $2,818Professionalmedian $1,122 · 10th to 90th $912 to $1,585
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 $954.99 Median $954.99 Typical High $977.24 | Facility | None | $954.99 | $954.99 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $977.24 | Professional | None | $954.99 | $954.99 | $977.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,995.26 | Facility | None | $1,862.09 | $1,862.09 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,380.38 | Professional | None | $1,122.02 | $1,122.02 | $1,380.38 |
CareFirst Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,288.25 | Professional | None | $977.24 | $977.24 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,047.13 | $1,584.89 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,584.89 | Professional | None | $1,148.15 | $1,148.15 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,288.25 Median $1,862.09 Typical High $2,398.83 | Professional | None | $1,288.25 | $1,862.09 | $2,398.83 |
Medcost Setting Professional Modifier None Typical Low $1,096.48 Median $1,230.27 Typical High $1,698.24 | Professional | None | $1,096.48 | $1,230.27 | $1,698.24 |
Medcost Setting Facility Modifier None Typical Low $645.65 Median $1,000.00 Typical High $1,202.26 | Facility | None | $645.65 | $1,000.00 | $1,202.26 |
Medcost Setting Professional Modifier None Typical Low $812.83 Median $1,096.48 Typical High $1,202.26 | Professional | None | $812.83 | $1,096.48 | $1,202.26 |
Sentara Setting Facility Modifier None Typical Low $912.01 Median $1,288.25 Typical High $3,981.07 | Facility | None | $912.01 | $1,288.25 | $3,981.07 |
Sentara Setting Professional Modifier None Typical Low $1,000.00 Median $1,380.38 Typical High $2,818.38 | Professional | None | $1,000.00 | $1,380.38 | $2,818.38 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,258.93 Typical High $2,454.71 | Facility | None | $1,202.26 | $1,258.93 | $2,454.71 |
United Setting Professional Modifier None Typical Low $851.14 Median $912.01 Typical High $1,412.54 | Professional | None | $851.14 | $912.01 | $1,412.54 |
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 $478.63 Median $478.63 Typical High $489.78 | Professional | 52 · Reduced service | $478.63 | $478.63 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $194.98 | Professional | 53 · Discontinued | $190.55 | $190.55 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $97.72 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $97.72 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $112.20 Median $112.20 Typical High $147.91 | Professional | RR · Rental | $112.20 | $112.20 | $147.91 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $831.76 Median $831.76 Typical High $912.01 | Professional | UE · Used equipment | $831.76 | $831.76 | $912.01 |
Where Virginia sits
The same service costs 2.8 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· 45th of 51
$1,122
HI $2,692DC $977
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.