How much rates vary
Facilitymedian $1,549 · 10th to 90th $1,148 to $3,311Professionalmedian $1,230 · 10th to 90th $933 to $1,778
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 $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,344.23 | Facility | None | $2,187.76 | $2,187.76 | $2,344.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,513.56 | Professional | None | $1,230.27 | $1,230.27 | $1,513.56 |
CareFirst Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,513.56 | Professional | None | $1,148.15 | $1,148.15 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,148.15 | $1,258.93 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,258.93 | Professional | None | $933.25 | $933.25 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,548.82 Median $2,187.76 Typical High $2,884.03 | Professional | None | $1,548.82 | $2,187.76 | $2,884.03 |
Medcost Setting Professional Modifier None Typical Low $1,288.25 Median $1,445.44 Typical High $1,995.26 | Professional | None | $1,288.25 | $1,445.44 | $1,995.26 |
Medcost Setting Facility Modifier None Typical Low $724.44 Median $1,174.90 Typical High $1,445.44 | Facility | None | $724.44 | $1,174.90 | $1,445.44 |
Medcost Setting Professional Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $1,445.44 | Professional | None | $1,023.29 | $1,174.90 | $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 $1,174.90 Median $1,621.81 Typical High $3,311.31 | Professional | None | $1,174.90 | $1,621.81 | $3,311.31 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,584.89 Typical High $2,754.23 | Facility | None | $1,348.96 | $1,584.89 | $2,754.23 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,071.52 Typical High $1,621.81 | Professional | None | $1,000.00 | $1,071.52 | $1,621.81 |
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 $562.34 Median $562.34 Typical High $575.44 | Professional | 52 · Reduced service | $562.34 | $562.34 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $173.78 | Professional | 55 · Aftercare only | $169.82 | $169.82 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $114.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $123.03 Median $123.03 Typical High $165.96 | Professional | RR · Rental | $123.03 | $123.03 | $165.96 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $933.25 Median $933.25 Typical High $1,000.00 | Professional | UE · Used equipment | $933.25 | $933.25 | $1,000.00 |
Where Virginia sits
The same service costs 3.8 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· 40th of 51
$1,230
HI $3,548DE $933
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.