How much rates vary
Facilitymedian $871 · 10th to 90th $603 to $1,738Professionalmedian $646 · 10th to 90th $562 to $1,072
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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,230.27 | Facility | None | $1,174.90 | $1,174.90 | $1,230.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $831.76 Typical High $1,096.48 | Professional | None | $562.34 | $831.76 | $1,096.48 |
CareFirst Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $794.33 | Professional | None | $616.60 | $616.60 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $870.96 Typical High $870.96 | Facility | None | $588.84 | $870.96 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $870.96 | Professional | None | $645.65 | $645.65 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $812.83 Median $1,174.90 Typical High $1,513.56 | Professional | None | $812.83 | $1,174.90 | $1,513.56 |
Medcost Setting Professional Modifier None Typical Low $691.83 Median $758.58 Typical High $1,071.52 | Professional | None | $691.83 | $758.58 | $1,071.52 |
Medcost Setting Facility Modifier None Typical Low $380.19 Median $630.96 Typical High $758.58 | Facility | None | $380.19 | $630.96 | $758.58 |
Medcost Setting Professional Modifier None Typical Low $489.78 Median $645.65 Typical High $758.58 | Professional | None | $489.78 | $645.65 | $758.58 |
Sentara Setting Facility Modifier None Typical Low $562.34 Median $794.33 Typical High $2,511.89 | Facility | None | $562.34 | $794.33 | $2,511.89 |
Sentara Setting Professional Modifier None Typical Low $630.96 Median $851.14 Typical High $1,737.80 | Professional | None | $630.96 | $851.14 | $1,737.80 |
United Setting Facility Modifier None Typical Low $616.60 Median $645.65 Typical High $1,479.11 | Facility | None | $616.60 | $645.65 | $1,479.11 |
United Setting Professional Modifier None Typical Low $524.81 Median $575.44 Typical High $851.14 | Professional | None | $524.81 | $575.44 | $851.14 |
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 $302.00 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $123.03 | Professional | 53 · Discontinued | $120.23 | $120.23 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $60.26 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $66.07 Median $66.07 Typical High $87.10 | Professional | RR · Rental | $66.07 | $66.07 | $87.10 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $489.78 Typical High $537.03 | Professional | UE · Used equipment | $489.78 | $489.78 | $537.03 |
Where Virginia sits
The same service costs 2.3 times more in Hawaii 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· 32nd of 51
$661
HI $1,413PA $617
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.