How much rates vary
Facilitymedian $1,445 · 10th to 90th $1,047 to $3,090Professionalmedian $1,122 · 10th to 90th $955 to $1,698
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 $1,047.13 Median $1,047.13 Typical High $1,071.52 | Facility | None | $1,047.13 | $1,047.13 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,047.13 Typical High $1,071.52 | Professional | None | $1,000.00 | $1,047.13 | $1,071.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,137.96 | Facility | None | $2,041.74 | $2,041.74 | $2,137.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,380.38 | Professional | None | $1,122.02 | $1,122.02 | $1,380.38 |
CareFirst Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,318.26 Typical High $1,318.26 | Facility | None | $870.96 | $1,318.26 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,318.26 | Professional | None | $954.99 | $954.99 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,412.54 Median $2,041.74 Typical High $2,630.27 | Professional | None | $1,412.54 | $2,041.74 | $2,630.27 |
Medcost Setting Professional Modifier None Typical Low $1,202.26 Median $1,318.26 Typical High $1,862.09 | Professional | None | $1,202.26 | $1,318.26 | $1,862.09 |
Medcost Setting Facility Modifier None Typical Low $645.65 Median $1,096.48 Typical High $1,318.26 | Facility | None | $645.65 | $1,096.48 | $1,318.26 |
Medcost Setting Professional Modifier None Typical Low $1,096.48 Median $1,148.15 Typical High $2,951.21 | Professional | None | $1,096.48 | $1,148.15 | $2,951.21 |
Sentara Setting Facility Modifier None Typical Low $977.24 Median $1,445.44 Typical High $4,365.16 | Facility | None | $977.24 | $1,445.44 | $4,365.16 |
Sentara Setting Professional Modifier None Typical Low $1,096.48 Median $1,548.82 Typical High $3,090.30 | Professional | None | $1,096.48 | $1,548.82 | $3,090.30 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $2,951.21 | Facility | None | $1,000.00 | $1,000.00 | $2,951.21 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,000.00 Typical High $1,479.11 | Professional | None | $912.01 | $1,000.00 | $1,479.11 |
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 $501.19 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $501.19 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $208.93 Typical High $213.80 | Professional | 53 · Discontinued | $199.53 | $208.93 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $147.91 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $104.71 Typical High $107.15 | Professional | 56 · Pre-op care only | $100.00 | $104.71 | $107.15 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $112.20 Median $112.20 Typical High $144.54 | Professional | RR · Rental | $112.20 | $112.20 | $144.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $831.76 Median $831.76 Typical High $891.25 | Professional | UE · Used equipment | $831.76 | $831.76 | $891.25 |
Where Virginia sits
The same service costs 3.0 times more in Kansas 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· 33rd of 51
$1,122
KS $2,818DE $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.