How much rates vary
Facilitymedian $1,230 · 10th to 90th $912 to $2,630Professionalmedian $1,047 · 10th to 90th $871 to $1,445
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 $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,862.09 | Facility | None | $1,778.28 | $1,778.28 | $1,862.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,288.25 | Professional | None | $1,047.13 | $1,047.13 | $1,288.25 |
CareFirst Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,202.26 | Professional | None | $933.25 | $933.25 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,230.27 Typical High $1,230.27 | Facility | None | $812.83 | $1,230.27 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,230.27 | Professional | None | $891.25 | $891.25 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,230.27 Median $1,778.28 Typical High $2,290.87 | Professional | None | $1,230.27 | $1,778.28 | $2,290.87 |
Medcost Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,621.81 | Professional | None | $1,148.15 | $1,148.15 | $1,621.81 |
Medcost Setting Facility Modifier None Typical Low $616.60 Median $954.99 Typical High $1,148.15 | Facility | None | $616.60 | $954.99 | $1,148.15 |
Medcost Setting Professional Modifier None Typical Low $933.25 Median $977.24 Typical High $1,258.93 | Professional | None | $933.25 | $977.24 | $1,258.93 |
Sentara Setting Facility Modifier None Typical Low $851.14 Median $1,202.26 Typical High $3,801.89 | Facility | None | $851.14 | $1,202.26 | $3,801.89 |
Sentara Setting Professional Modifier None Typical Low $954.99 Median $1,288.25 Typical High $2,630.27 | Professional | None | $954.99 | $1,288.25 | $2,630.27 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,148.15 Typical High $2,344.23 | Facility | None | $977.24 | $1,148.15 | $2,344.23 |
United Setting Professional Modifier None Typical Low $794.33 Median $870.96 Typical High $1,318.26 | Professional | None | $794.33 | $870.96 | $1,318.26 |
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 $457.09 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $91.20 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $104.71 Median $104.71 Typical High $141.25 | Professional | RR · Rental | $104.71 | $104.71 | $141.25 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $794.33 Median $794.33 Typical High $851.14 | Professional | UE · Used equipment | $794.33 | $794.33 | $851.14 |
Where Virginia sits
The same service costs 2.8 times more in Hawaii than in Pennsylvania. 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· 37th of 51
$1,047
HI $2,455PA $891
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.