How much rates vary
Facilitymedian $1,047 · 10th to 90th $759 to $2,188Professionalmedian $832 · 10th to 90th $708 to $1,202
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 $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,548.82 | Facility | None | $1,445.44 | $1,445.44 | $1,548.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,023.29 | Professional | None | $831.76 | $831.76 | $1,023.29 |
CareFirst Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,000.00 | Professional | None | $758.58 | $758.58 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,047.13 Typical High $1,047.13 | Facility | None | $691.83 | $1,047.13 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,047.13 | Professional | None | $758.58 | $758.58 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $1,445.44 Typical High $1,905.46 | Professional | None | $1,023.29 | $1,445.44 | $1,905.46 |
Medcost Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $1,348.96 | Professional | None | $851.14 | $954.99 | $1,348.96 |
Medcost Setting Facility Modifier None Typical Low $489.78 Median $776.25 Typical High $954.99 | Facility | None | $489.78 | $776.25 | $954.99 |
Medcost Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $954.99 | Professional | None | $616.60 | $776.25 | $954.99 |
Sentara Setting Facility Modifier None Typical Low $707.95 Median $1,000.00 Typical High $3,162.28 | Facility | None | $707.95 | $1,000.00 | $3,162.28 |
Sentara Setting Professional Modifier None Typical Low $776.25 Median $1,071.52 Typical High $2,187.76 | Professional | None | $776.25 | $1,071.52 | $2,187.76 |
United Setting Facility Modifier None Typical Low $912.01 Median $1,000.00 Typical High $1,862.09 | Facility | None | $912.01 | $1,000.00 | $1,862.09 |
United Setting Professional Modifier None Typical Low $660.69 Median $707.95 Typical High $1,071.52 | Professional | None | $660.69 | $707.95 | $1,071.52 |
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 $380.19 Median $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $114.82 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $75.86 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $83.18 Median $83.18 Typical High $107.15 | Professional | RR · Rental | $83.18 | $83.18 | $107.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $630.96 Median $630.96 Typical High $676.08 | Professional | UE · Used equipment | $630.96 | $630.96 | $676.08 |
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· 37th of 51
$832
HI $2,344PA $759
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.