How much rates vary
Facilitymedian $468 · 10th to 90th $347 to $1,000Professionalmedian $380 · 10th to 90th $324 to $550
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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $707.95 | Facility | None | $660.69 | $660.69 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $467.74 | Professional | None | $380.19 | $380.19 | $467.74 |
CareFirst Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $457.09 | Professional | None | $354.81 | $354.81 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $467.74 Typical High $467.74 | Facility | None | $309.03 | $467.74 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $467.74 | Professional | None | $338.84 | $338.84 | $467.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $467.74 Median $660.69 Typical High $870.96 | Professional | None | $467.74 | $660.69 | $870.96 |
Medcost Setting Professional Modifier None Typical Low $398.11 Median $436.52 Typical High $616.60 | Professional | None | $398.11 | $436.52 | $616.60 |
Medcost Setting Facility Modifier None Typical Low $223.87 Median $354.81 Typical High $436.52 | Facility | None | $223.87 | $354.81 | $436.52 |
Medcost Setting Professional Modifier None Typical Low $302.00 Median $354.81 Typical High $436.52 | Professional | None | $302.00 | $354.81 | $436.52 |
Sentara Setting Facility Modifier None Typical Low $323.59 Median $457.09 Typical High $1,445.44 | Facility | None | $323.59 | $457.09 | $1,445.44 |
Sentara Setting Professional Modifier None Typical Low $354.81 Median $489.78 Typical High $1,000.00 | Professional | None | $354.81 | $489.78 | $1,000.00 |
United Setting Facility Modifier None Typical Low $380.19 Median $416.87 Typical High $851.14 | Facility | None | $380.19 | $416.87 | $851.14 |
United Setting Professional Modifier None Typical Low $302.00 Median $323.59 Typical High $489.78 | Professional | None | $302.00 | $323.59 | $489.78 |
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 $173.78 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $52.48 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 56 · Pre-op care only | $34.67 | $34.67 | $34.67 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.02 Median $38.02 Typical High $50.12 | Professional | RR · Rental | $38.02 | $38.02 | $50.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $288.40 Typical High $309.03 | Professional | UE · Used equipment | $288.40 | $288.40 | $309.03 |
Where Virginia sits
The same service costs 2.9 times more in Hawaii 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· 37th of 51
$380
HI $977FL $339
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.