How much rates vary
Facilitymedian $355 · 10th to 90th $229 to $776Professionalmedian $263 · 10th to 90th $200 to $417
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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $269.15 Typical High $269.15 | Professional | None | $251.19 | $269.15 | $269.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $549.54 | Facility | None | $524.81 | $524.81 | $549.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $323.59 | Professional | None | $263.03 | $263.03 | $323.59 |
CareFirst Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $354.81 | Professional | None | $281.84 | $281.84 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $275.42 Typical High $275.42 | Facility | None | $208.93 | $275.42 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $275.42 | Professional | None | $199.53 | $199.53 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $363.08 Median $524.81 Typical High $676.08 | Professional | None | $363.08 | $524.81 | $676.08 |
Medcost Setting Professional Modifier None Typical Low $309.03 Median $338.84 Typical High $478.63 | Professional | None | $309.03 | $338.84 | $478.63 |
Medcost Setting Facility Modifier None Typical Low $154.88 Median $281.84 Typical High $338.84 | Facility | None | $154.88 | $281.84 | $338.84 |
Medcost Setting Professional Modifier None Typical Low $245.47 Median $281.84 Typical High $346.74 | Professional | None | $245.47 | $281.84 | $346.74 |
Sentara Setting Facility Modifier None Typical Low $251.19 Median $354.81 Typical High $1,122.02 | Facility | None | $251.19 | $354.81 | $1,122.02 |
Sentara Setting Professional Modifier None Typical Low $281.84 Median $380.19 Typical High $776.25 | Professional | None | $281.84 | $380.19 | $776.25 |
United Setting Facility Modifier None Typical Low $190.55 Median $229.09 Typical High $588.84 | Facility | None | $190.55 | $229.09 | $588.84 |
United Setting Professional Modifier None Typical Low $229.09 Median $257.04 Typical High $380.19 | Professional | None | $229.09 | $257.04 | $380.19 |
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 $125.89 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $125.89 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $53.70 Typical High $54.95 | Professional | 53 · Discontinued | $51.29 | $53.70 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $40.74 Typical High $40.74 | Professional | 55 · Aftercare only | $38.02 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $26.92 Typical High $26.92 | Professional | 56 · Pre-op care only | $25.12 | $26.92 | $26.92 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $26.30 Median $26.30 Typical High $34.67 | Professional | RR · Rental | $26.30 | $26.30 | $34.67 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $199.53 Typical High $213.80 | Professional | UE · Used equipment | $199.53 | $199.53 | $213.80 |
Where Virginia sits
The same service costs 2.5 times more in Hawaii than in Florida. 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· 35th of 51
$269
HI $501FL $204
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.