How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,622 to $4,677Professionalmedian $1,862 · 10th to 90th $1,549 to $2,570
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 $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,311.31 | Facility | None | $3,162.28 | $3,162.28 | $3,311.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,290.87 | Professional | None | $1,862.09 | $1,862.09 | $2,290.87 |
CareFirst Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,137.96 | Professional | None | $1,659.59 | $1,659.59 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $2,570.40 Typical High $2,570.40 | Facility | None | $1,698.24 | $2,570.40 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,570.40 | Professional | None | $1,862.09 | $1,862.09 | $2,570.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,187.76 Median $3,162.28 Typical High $4,073.80 | Professional | None | $2,187.76 | $3,162.28 | $4,073.80 |
Medcost Setting Professional Modifier None Typical Low $1,862.09 Median $2,041.74 Typical High $2,884.03 | Professional | None | $1,862.09 | $2,041.74 | $2,884.03 |
Medcost Setting Facility Modifier None Typical Low $1,096.48 Median $1,698.24 Typical High $2,041.74 | Facility | None | $1,096.48 | $1,698.24 | $2,041.74 |
Medcost Setting Professional Modifier None Typical Low $1,380.38 Median $1,819.70 Typical High $2,041.74 | Professional | None | $1,380.38 | $1,819.70 | $2,041.74 |
Sentara Setting Facility Modifier None Typical Low $1,479.11 Median $2,137.96 Typical High $6,456.54 | Facility | None | $1,479.11 | $2,137.96 | $6,456.54 |
Sentara Setting Professional Modifier None Typical Low $1,621.81 Median $2,290.87 Typical High $4,677.35 | Professional | None | $1,621.81 | $2,290.87 | $4,677.35 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $1,659.59 Typical High $4,168.69 | Facility | None | $1,288.25 | $1,659.59 | $4,168.69 |
United Setting Professional Modifier None Typical Low $1,412.54 Median $1,548.82 Typical High $2,344.23 | Professional | None | $1,412.54 | $1,548.82 | $2,344.23 |
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 $812.83 Median $812.83 Typical High $812.83 | Professional | 52 · Reduced service | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $331.13 | Professional | 53 · Discontinued | $323.59 | $323.59 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 55 · Aftercare only | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $162.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $186.21 Median $186.21 Typical High $245.47 | Professional | RR · Rental | $186.21 | $186.21 | $245.47 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,412.54 Median $1,412.54 Typical High $1,513.56 | Professional | UE · Used equipment | $1,412.54 | $1,412.54 | $1,513.56 |
Where Virginia sits
The same service costs 2.4 times more in Wisconsin 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· 37th of 51
$1,862
WI $3,981DC $1,660
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.