How much rates vary
Facilitymedian $1,820 · 10th to 90th $1,148 to $3,715Professionalmedian $1,698 · 10th to 90th $1,202 to $2,089
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 $1,258.93 Median $1,258.93 Typical High $1,288.25 | Facility | None | $1,258.93 | $1,258.93 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,288.25 | Professional | None | $1,258.93 | $1,258.93 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,570.40 | Facility | None | $2,454.71 | $2,454.71 | $2,570.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,862.09 | Professional | None | $1,698.24 | $1,698.24 | $1,862.09 |
CareFirst Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,698.24 | Professional | None | $1,288.25 | $1,288.25 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,288.25 | $1,819.70 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,318.26 | $1,318.26 | $1,819.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,698.24 Median $2,454.71 Typical High $3,162.28 | Professional | None | $1,698.24 | $2,454.71 | $3,162.28 |
Medcost Setting Professional Modifier None Typical Low $1,445.44 Median $1,584.89 Typical High $2,238.72 | Professional | None | $1,445.44 | $1,584.89 | $2,238.72 |
Medcost Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $1,584.89 | Facility | None | $812.83 | $1,318.26 | $1,584.89 |
Medcost Setting Professional Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $1,621.81 | Professional | None | $1,023.29 | $1,348.96 | $1,621.81 |
Sentara Setting Facility Modifier None Typical Low $1,174.90 Median $1,659.59 Typical High $5,011.87 | Facility | None | $1,174.90 | $1,659.59 | $5,011.87 |
Sentara Setting Professional Modifier None Typical Low $1,288.25 Median $1,819.70 Typical High $3,715.35 | Professional | None | $1,288.25 | $1,819.70 | $3,715.35 |
United Setting Facility Modifier None Typical Low $870.96 Median $1,148.15 Typical High $3,090.30 | Facility | None | $870.96 | $1,148.15 | $3,090.30 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,202.26 Typical High $1,819.70 | Professional | None | $1,122.02 | $1,202.26 | $1,819.70 |
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 $630.96 Median $630.96 Typical High $645.65 | Professional | 52 · Reduced service | $630.96 | $630.96 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $257.04 | Professional | 53 · Discontinued | $251.19 | $251.19 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $128.82 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $128.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $177.83 Median $177.83 Typical High $186.21 | Professional | RR · Rental | $177.83 | $177.83 | $186.21 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,288.25 Median $1,318.26 Typical High $1,380.38 | Professional | UE · Used equipment | $1,288.25 | $1,318.26 | $1,380.38 |
Where Virginia sits
The same service costs 2.3 times more in Wisconsin than in Pennsylvania. 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· 23rd of 51
$1,698
WI $2,951PA $1,288
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.