How much rates vary
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 $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $316.23 Typical High $316.23 | Professional | None | $309.03 | $316.23 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $645.65 | Facility | None | $602.56 | $602.56 | $645.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $467.74 | Professional | None | $416.87 | $416.87 | $467.74 |
CareFirst Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $416.87 | Professional | None | $331.13 | $331.13 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $380.19 Typical High $380.19 | Facility | None | $316.23 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $380.19 | Professional | None | $275.42 | $275.42 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $426.58 Median $602.56 Typical High $794.33 | Professional | None | $426.58 | $602.56 | $794.33 |
Medcost Setting Professional Modifier None Typical Low $363.08 Median $398.11 Typical High $562.34 | Professional | None | $363.08 | $398.11 | $562.34 |
Medcost Setting Facility Modifier None Typical Low $213.80 Median $323.59 Typical High $398.11 | Facility | None | $213.80 | $323.59 | $398.11 |
Medcost Setting Professional Modifier None Typical Low $323.59 Median $371.54 Typical High $398.11 | Professional | None | $323.59 | $371.54 | $398.11 |
Sentara Setting Facility Modifier None Typical Low $295.12 Median $426.58 Typical High $1,318.26 | Facility | None | $295.12 | $426.58 | $1,318.26 |
Sentara Setting Professional Modifier None Typical Low $323.59 Median $446.68 Typical High $912.01 | Professional | None | $323.59 | $446.68 | $912.01 |
United Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $977.24 | Facility | None | $812.83 | $812.83 | $977.24 |
United Setting Professional Modifier None Typical Low $275.42 Median $295.12 Typical High $457.09 | Professional | None | $275.42 | $295.12 | $457.09 |
4 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 55 · Aftercare only Typical Low $46.77 Median $46.77 Typical High $47.86 | Professional | 55 · Aftercare only | $46.77 | $46.77 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 56 · Pre-op care only | $31.62 | $31.62 | $31.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $42.66 Median $42.66 Typical High $48.98 | Professional | RR · Rental | $42.66 | $42.66 | $48.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $309.03 Median $316.23 Typical High $331.13 | Professional | UE · Used equipment | $309.03 | $316.23 | $331.13 |
Where Virginia sits
The same service costs 3.7 times more in Alaska 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· 30th of 51
$417
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.