How much rates vary
Facilitymedian $347 · 10th to 90th $245 to $759Professionalmedian $240 · 10th to 90th $182 to $398
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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $263.03 Typical High $263.03 | Professional | None | $229.09 | $263.03 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $537.03 | Facility | None | $501.19 | $501.19 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $263.03 | Professional | None | $229.09 | $229.09 | $263.03 |
CareFirst Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $346.74 | Professional | None | $263.03 | $263.03 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $245.47 | Professional | None | $181.97 | $181.97 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $501.19 Typical High $660.69 | Professional | None | $354.81 | $501.19 | $660.69 |
Medcost Setting Professional Modifier None Typical Low $295.12 Median $331.13 Typical High $467.74 | Professional | None | $295.12 | $331.13 | $467.74 |
Medcost Setting Facility Modifier None Typical Low $134.90 Median $269.15 Typical High $331.13 | Facility | None | $134.90 | $269.15 | $331.13 |
Medcost Setting Professional Modifier None Typical Low $213.80 Median $269.15 Typical High $331.13 | Professional | None | $213.80 | $269.15 | $331.13 |
Sentara Setting Facility Modifier None Typical Low $245.47 Median $346.74 Typical High $1,071.52 | Facility | None | $245.47 | $346.74 | $1,071.52 |
Sentara Setting Professional Modifier None Typical Low $269.15 Median $371.54 Typical High $758.58 | Professional | None | $269.15 | $371.54 | $758.58 |
United Setting Facility Modifier None Typical Low $190.55 Median $245.47 Typical High $512.86 | Facility | None | $190.55 | $245.47 | $512.86 |
United Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $371.54 | Professional | None | $208.93 | $245.47 | $371.54 |
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 $114.82 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $114.82 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $45.71 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $38.90 Typical High $39.81 | Professional | 55 · Aftercare only | $34.67 | $38.90 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $26.30 Typical High $26.30 | Professional | 56 · Pre-op care only | $22.91 | $26.30 | $26.30 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $23.99 Median $23.99 Typical High $30.20 | Professional | RR · Rental | $23.99 | $23.99 | $30.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $173.78 Median $177.83 Typical High $186.21 | Professional | UE · Used equipment | $173.78 | $177.83 | $186.21 |
Where Virginia sits
The same service costs 2.5 times more in Kansas 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· 33rd of 51
$245
KS $457FL $186
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.