How much rates vary
Facilitymedian $2,089 · 10th to 90th $1,549 to $4,571Professionalmedian $1,698 · 10th to 90th $1,479 to $2,455
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 $1,548.82 Median $1,548.82 Typical High $1,584.89 | Facility | None | $1,548.82 | $1,548.82 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,548.82 Typical High $1,584.89 | Professional | None | $1,445.44 | $1,548.82 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,235.94 | Facility | None | $3,019.95 | $3,019.95 | $3,235.94 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $2,089.30 | Professional | None | $1,698.24 | $1,698.24 | $2,089.30 |
CareFirst Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,089.30 | Professional | None | $1,584.89 | $1,584.89 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $2,041.74 Typical High $2,041.74 | Facility | None | $1,258.93 | $2,041.74 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,041.74 | Professional | None | $1,513.56 | $1,513.56 | $2,041.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,137.96 Median $3,019.95 Typical High $3,890.45 | Professional | None | $2,137.96 | $3,019.95 | $3,890.45 |
Medcost Setting Professional Modifier None Typical Low $1,778.28 Median $1,995.26 Typical High $2,754.23 | Professional | None | $1,778.28 | $1,995.26 | $2,754.23 |
Medcost Setting Facility Modifier None Typical Low $1,023.29 Median $1,621.81 Typical High $1,949.84 | Facility | None | $1,023.29 | $1,621.81 | $1,949.84 |
Medcost Setting Professional Modifier None Typical Low $1,412.54 Median $1,621.81 Typical High $1,949.84 | Professional | None | $1,412.54 | $1,621.81 | $1,949.84 |
Sentara Setting Facility Modifier None Typical Low $1,445.44 Median $2,089.30 Typical High $6,309.57 | Facility | None | $1,445.44 | $2,089.30 | $6,309.57 |
Sentara Setting Professional Modifier None Typical Low $1,548.82 Median $2,238.72 Typical High $4,570.88 | Professional | None | $1,548.82 | $2,238.72 | $4,570.88 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $1,949.84 Typical High $3,890.45 | Facility | None | $1,905.46 | $1,949.84 | $3,890.45 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $1,479.11 Typical High $2,238.72 | Professional | None | $1,380.38 | $1,479.11 | $2,238.72 |
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 $724.44 Median $776.25 Typical High $794.33 | Professional | 52 · Reduced service | $724.44 | $776.25 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $316.23 Typical High $316.23 | Professional | 53 · Discontinued | $288.40 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $234.42 Typical High $234.42 | Professional | 55 · Aftercare only | $218.78 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $154.88 Typical High $158.49 | Professional | 56 · Pre-op care only | $144.54 | $154.88 | $158.49 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $169.82 Median $169.82 Typical High $229.09 | Professional | RR · Rental | $169.82 | $169.82 | $229.09 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,288.25 Median $1,288.25 Typical High $1,380.38 | Professional | UE · Used equipment | $1,288.25 | $1,288.25 | $1,380.38 |
Where Virginia sits
The same service costs 3.1 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· 40th of 51
$1,698
HI $4,677PA $1,514
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.