How much rates vary
Facilitymedian $977 · 10th to 90th $724 to $2,089Professionalmedian $813 · 10th to 90th $631 to $1,148
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 $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $724.44 Typical High $724.44 | Professional | None | $691.83 | $724.44 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,479.11 | Facility | None | $1,412.54 | $1,412.54 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,000.00 | Professional | None | $812.83 | $812.83 | $1,000.00 |
CareFirst Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $954.99 | Professional | None | $741.31 | $741.31 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $870.96 Typical High $870.96 | Facility | None | $575.44 | $870.96 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $870.96 | Professional | None | $630.96 | $630.96 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $977.24 Median $1,412.54 Typical High $1,819.70 | Professional | None | $977.24 | $1,412.54 | $1,819.70 |
Medcost Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $1,288.25 | Professional | None | $831.76 | $912.01 | $1,288.25 |
Medcost Setting Facility Modifier None Typical Low $478.63 Median $758.58 Typical High $912.01 | Facility | None | $478.63 | $758.58 | $912.01 |
Medcost Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,023.29 | Professional | None | $758.58 | $758.58 | $1,023.29 |
Sentara Setting Facility Modifier None Typical Low $676.08 Median $954.99 Typical High $3,019.95 | Facility | None | $676.08 | $954.99 | $3,019.95 |
Sentara Setting Professional Modifier None Typical Low $758.58 Median $1,023.29 Typical High $2,089.30 | Professional | None | $758.58 | $1,023.29 | $2,089.30 |
United Setting Facility Modifier None Typical Low $891.25 Median $1,513.56 Typical High $1,819.70 | Facility | None | $891.25 | $1,513.56 | $1,819.70 |
United Setting Professional Modifier None Typical Low $630.96 Median $676.08 Typical High $1,023.29 | Professional | None | $630.96 | $676.08 | $1,023.29 |
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 $346.74 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $346.74 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $141.25 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $104.71 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $69.18 | $72.44 | $72.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $81.28 Median $81.28 Typical High $107.15 | Professional | RR · Rental | $81.28 | $81.28 | $107.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $616.60 Median $616.60 Typical High $660.69 | Professional | UE · Used equipment | $616.60 | $616.60 | $660.69 |
Where Virginia sits
The same service costs 4.0 times more in Hawaii 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· 39th of 51
$813
HI $2,512DE $631
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.