How much rates vary
Facilitymedian $501 · 10th to 90th $324 to $1,000Professionalmedian $363 · 10th to 90th $316 to $603
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 $338.84 Median $338.84 Typical High $346.74 | Facility | None | $338.84 | $338.84 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $338.84 Typical High $346.74 | Professional | None | $323.59 | $338.84 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $707.95 | Facility | None | $660.69 | $660.69 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $446.68 Typical High $588.84 | Professional | None | $302.00 | $446.68 | $588.84 |
CareFirst Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $457.09 | Professional | None | $346.74 | $346.74 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $501.19 Typical High $501.19 | Facility | None | $331.13 | $501.19 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $501.19 | Professional | None | $363.08 | $363.08 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $660.69 Typical High $851.14 | Professional | None | $457.09 | $660.69 | $851.14 |
Medcost Setting Professional Modifier None Typical Low $389.05 Median $436.52 Typical High $602.56 | Professional | None | $389.05 | $436.52 | $602.56 |
Medcost Setting Facility Modifier None Typical Low $204.17 Median $354.81 Typical High $426.58 | Facility | None | $204.17 | $354.81 | $426.58 |
Medcost Setting Professional Modifier None Typical Low $269.15 Median $354.81 Typical High $426.58 | Professional | None | $269.15 | $354.81 | $426.58 |
Sentara Setting Facility Modifier None Typical Low $323.59 Median $457.09 Typical High $1,412.54 | Facility | None | $323.59 | $457.09 | $1,412.54 |
Sentara Setting Professional Modifier None Typical Low $354.81 Median $489.78 Typical High $1,000.00 | Professional | None | $354.81 | $489.78 | $1,000.00 |
United Setting Facility Modifier None Typical Low $229.09 Median $288.40 Typical High $794.33 | Facility | None | $229.09 | $288.40 | $794.33 |
United Setting Professional Modifier None Typical Low $295.12 Median $323.59 Typical High $489.78 | Professional | None | $295.12 | $323.59 | $489.78 |
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 $169.82 Median $169.82 Typical High $173.78 | Professional | 52 · Reduced service | $169.82 | $169.82 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $69.18 | Professional | 53 · Discontinued | $67.61 | $67.61 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $34.67 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $34.67 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $35.48 Median $35.48 Typical High $46.77 | Professional | RR · Rental | $35.48 | $35.48 | $46.77 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $263.03 Median $263.03 Typical High $288.40 | Professional | UE · Used equipment | $263.03 | $263.03 | $288.40 |
Where Virginia sits
The same service costs 2.3 times more in Wisconsin 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· 31st of 51
$380
WI $776FL $339
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.