How much rates vary
Facilitymedian $1,778 · 10th to 90th $1,288 to $3,715Professionalmedian $1,479 · 10th to 90th $1,202 to $2,042
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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,630.27 | Facility | None | $2,454.71 | $2,454.71 | $2,630.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,819.70 | Professional | None | $1,479.11 | $1,479.11 | $1,819.70 |
CareFirst Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,698.24 | Professional | None | $1,288.25 | $1,288.25 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,174.90 | $1,778.28 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,778.28 | Professional | None | $1,288.25 | $1,288.25 | $1,778.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,737.80 Median $2,454.71 Typical High $3,235.94 | Professional | None | $1,737.80 | $2,454.71 | $3,235.94 |
Medcost Setting Professional Modifier None Typical Low $1,513.56 Median $1,621.81 Typical High $2,290.87 | Professional | None | $1,513.56 | $1,621.81 | $2,290.87 |
Medcost Setting Facility Modifier None Typical Low $851.14 Median $1,318.26 Typical High $1,621.81 | Facility | None | $851.14 | $1,318.26 | $1,621.81 |
Medcost Setting Professional Modifier None Typical Low $1,230.27 Median $1,348.96 Typical High $1,621.81 | Professional | None | $1,230.27 | $1,348.96 | $1,621.81 |
Sentara Setting Facility Modifier None Typical Low $1,202.26 Median $1,698.24 Typical High $5,128.61 | Facility | None | $1,202.26 | $1,698.24 | $5,128.61 |
Sentara Setting Professional Modifier None Typical Low $1,318.26 Median $1,819.70 Typical High $3,715.35 | Professional | None | $1,318.26 | $1,819.70 | $3,715.35 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,548.82 Typical High $3,311.31 | Facility | None | $1,412.54 | $1,548.82 | $3,311.31 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,202.26 Typical High $1,862.09 | Professional | None | $1,122.02 | $1,202.26 | $1,862.09 |
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 $645.65 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $194.98 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $128.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $147.91 Median $147.91 Typical High $199.53 | Professional | RR · Rental | $147.91 | $147.91 | $199.53 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,122.02 Median $1,122.02 Typical High $1,202.26 | Professional | UE · Used equipment | $1,122.02 | $1,122.02 | $1,202.26 |
Where Virginia sits
The same service costs 2.7 times more in Hawaii than in Maryland. 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
$1,479
HI $3,467MD $1,288
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.