How much rates vary
Facilitymedian $309 · 10th to 90th $229 to $661Professionalmedian $269 · 10th to 90th $204 to $363
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 $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $467.74 | Facility | None | $436.52 | $436.52 | $467.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $331.13 | Professional | None | $269.15 | $269.15 | $331.13 |
CareFirst Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $302.00 | Professional | None | $229.09 | $229.09 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $281.84 Typical High $281.84 | Facility | None | $186.21 | $281.84 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $281.84 | Professional | None | $204.17 | $204.17 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $436.52 Typical High $575.44 | Professional | None | $309.03 | $436.52 | $575.44 |
Medcost Setting Professional Modifier None Typical Low $257.04 Median $288.40 Typical High $407.38 | Professional | None | $257.04 | $288.40 | $407.38 |
Medcost Setting Facility Modifier None Typical Low $151.36 Median $234.42 Typical High $288.40 | Facility | None | $151.36 | $234.42 | $288.40 |
Medcost Setting Professional Modifier None Typical Low $204.17 Median $251.19 Typical High $288.40 | Professional | None | $204.17 | $251.19 | $288.40 |
Sentara Setting Facility Modifier None Typical Low $213.80 Median $302.00 Typical High $954.99 | Facility | None | $213.80 | $302.00 | $954.99 |
Sentara Setting Professional Modifier None Typical Low $234.42 Median $323.59 Typical High $660.69 | Professional | None | $234.42 | $323.59 | $660.69 |
United Setting Facility Modifier None Typical Low $288.40 Median $389.05 Typical High $588.84 | Facility | None | $288.40 | $389.05 | $588.84 |
United Setting Professional Modifier None Typical Low $199.53 Median $213.80 Typical High $331.13 | Professional | None | $199.53 | $213.80 | $331.13 |
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 $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $33.88 Typical High $34.67 | Professional | 55 · Aftercare only | $33.88 | $33.88 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 56 · Pre-op care only | $22.91 | $22.91 | $22.91 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $26.92 Median $26.92 Typical High $34.67 | Professional | RR · Rental | $26.92 | $26.92 | $34.67 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $199.53 Typical High $218.78 | Professional | UE · Used equipment | $199.53 | $199.53 | $218.78 |
Where Virginia sits
The same service costs 4.1 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· 33rd of 51
$269
HI $832DE $204
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.