How much rates vary
Facilitymedian $3,715 · 10th to 90th $2,692 to $7,586Professionalmedian $2,951 · 10th to 90th $2,512 to $4,169
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 $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,495.41 | Facility | None | $5,128.61 | $5,128.61 | $5,495.41 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,630.78 | Professional | None | $2,951.21 | $2,951.21 | $3,630.78 |
CareFirst Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $3,548.13 | Professional | None | $2,691.53 | $2,691.53 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $3,548.13 Typical High $3,548.13 | Facility | None | $2,398.83 | $3,548.13 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,548.13 | Professional | None | $2,630.27 | $2,630.27 | $3,548.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,630.78 Median $5,128.61 Typical High $6,760.83 | Professional | None | $3,630.78 | $5,128.61 | $6,760.83 |
Medcost Setting Professional Modifier None Typical Low $3,019.95 Median $3,388.44 Typical High $4,786.30 | Professional | None | $3,019.95 | $3,388.44 | $4,786.30 |
Medcost Setting Facility Modifier None Typical Low $1,698.24 Median $2,754.23 Typical High $3,388.44 | Facility | None | $1,698.24 | $2,754.23 | $3,388.44 |
Medcost Setting Professional Modifier None Typical Low $2,398.83 Median $2,884.03 Typical High $3,388.44 | Professional | None | $2,398.83 | $2,884.03 | $3,388.44 |
Sentara Setting Facility Modifier None Typical Low $2,511.89 Median $3,548.13 Typical High $10,000.00 | Facility | None | $2,511.89 | $3,548.13 | $10,000.00 |
Sentara Setting Professional Modifier None Typical Low $2,754.23 Median $3,801.89 Typical High $7,762.47 | Professional | None | $2,754.23 | $3,801.89 | $7,762.47 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $4,365.16 Typical High $6,606.93 | Facility | None | $3,235.94 | $4,365.16 | $6,606.93 |
United Setting Professional Modifier None Typical Low $2,344.23 Median $2,511.89 Typical High $3,801.89 | Professional | None | $2,344.23 | $2,511.89 | $3,801.89 |
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 $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 53 · Discontinued | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $398.11 Typical High $407.38 | Professional | 55 · Aftercare only | $398.11 | $398.11 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 56 · Pre-op care only | $269.15 | $269.15 | $269.15 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $295.12 Median $295.12 Typical High $380.19 | Professional | RR · Rental | $295.12 | $295.12 | $380.19 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,238.72 Median $2,238.72 Typical High $2,398.83 | Professional | UE · Used equipment | $2,238.72 | $2,238.72 | $2,398.83 |
Where Virginia sits
The same service costs 4.3 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· 36th of 51
$2,951
HI $11,220PA $2,630
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.