How much rates vary
Facilitymedian $1,445 · 10th to 90th $1,148 to $3,388Professionalmedian $1,288 · 10th to 90th $955 to $1,820
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 $1,148.15 Median $1,148.15 Typical High $1,174.90 | Facility | None | $1,148.15 | $1,148.15 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,174.90 | Professional | None | $1,148.15 | $1,148.15 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,344.23 | Facility | None | $2,238.72 | $2,238.72 | $2,344.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,445.44 | Professional | None | $1,288.25 | $1,288.25 | $1,445.44 |
CareFirst Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,513.56 | Professional | None | $1,174.90 | $1,174.90 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,071.52 | $1,288.25 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,288.25 | Professional | None | $954.99 | $954.99 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,548.82 Median $2,238.72 Typical High $2,884.03 | Professional | None | $1,548.82 | $2,238.72 | $2,884.03 |
Medcost Setting Professional Modifier None Typical Low $1,318.26 Median $1,445.44 Typical High $2,041.74 | Professional | None | $1,318.26 | $1,445.44 | $2,041.74 |
Medcost Setting Facility Modifier None Typical Low $741.31 Median $1,202.26 Typical High $1,445.44 | Facility | None | $741.31 | $1,202.26 | $1,445.44 |
Medcost Setting Professional Modifier None Typical Low $933.25 Median $1,202.26 Typical High $1,445.44 | Professional | None | $933.25 | $1,202.26 | $1,445.44 |
Sentara Setting Facility Modifier None Typical Low $1,071.52 Median $1,513.56 Typical High $4,570.88 | Facility | None | $1,071.52 | $1,513.56 | $4,570.88 |
Sentara Setting Professional Modifier None Typical Low $1,202.26 Median $1,621.81 Typical High $3,388.44 | Professional | None | $1,202.26 | $1,621.81 | $3,388.44 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,380.38 Typical High $2,818.38 | Facility | None | $1,348.96 | $1,380.38 | $2,818.38 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,096.48 Typical High $1,659.59 | Professional | None | $1,023.29 | $1,096.48 | $1,659.59 |
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 $575.44 Median $575.44 Typical High $588.84 | Professional | 52 · Reduced service | $575.44 | $575.44 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $234.42 | Professional | 53 · Discontinued | $229.09 | $229.09 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $117.49 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $117.49 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $131.83 Median $131.83 Typical High $165.96 | Professional | RR · Rental | $131.83 | $131.83 | $165.96 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $954.99 Median $1,000.00 Typical High $1,047.13 | Professional | UE · Used equipment | $954.99 | $1,000.00 | $1,047.13 |
Where Virginia sits
The same service costs 3.4 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· 36th of 51
$1,288
HI $3,236DE $955
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.