How much rates vary
Facilitymedian $437 · 10th to 90th $331 to $955Professionalmedian $457 · 10th to 90th $282 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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $676.08 | Facility | None | $630.96 | $630.96 | $676.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $501.19 | Professional | None | $457.09 | $457.09 | $501.19 |
CareFirst Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $436.52 | Professional | None | $331.13 | $331.13 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $389.05 Typical High $389.05 | Facility | None | $331.13 | $389.05 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $389.05 | Professional | None | $281.84 | $281.84 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $630.96 Typical High $831.76 | Professional | None | $446.68 | $630.96 | $831.76 |
Medcost Setting Professional Modifier None Typical Low $371.54 Median $416.87 Typical High $588.84 | Professional | None | $371.54 | $416.87 | $588.84 |
Medcost Setting Facility Modifier None Typical Low $218.78 Median $338.84 Typical High $416.87 | Facility | None | $218.78 | $338.84 | $416.87 |
Medcost Setting Professional Modifier None Typical Low $281.84 Median $371.54 Typical High $436.52 | Professional | None | $281.84 | $371.54 | $436.52 |
Sentara Setting Facility Modifier None Typical Low $309.03 Median $436.52 Typical High $1,380.38 | Facility | None | $309.03 | $436.52 | $1,380.38 |
Sentara Setting Professional Modifier None Typical Low $338.84 Median $467.74 Typical High $954.99 | Professional | None | $338.84 | $467.74 | $954.99 |
United Setting Facility Modifier None Typical Low $281.84 Median $331.13 Typical High $851.14 | Facility | None | $281.84 | $331.13 | $851.14 |
United Setting Professional Modifier None Typical Low $288.40 Median $309.03 Typical High $478.63 | Professional | None | $288.40 | $309.03 | $478.63 |
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 $165.96 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $48.98 Typical High $50.12 | Professional | 55 · Aftercare only | $48.98 | $48.98 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $33.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $47.86 Median $47.86 Typical High $50.12 | Professional | RR · Rental | $47.86 | $47.86 | $50.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $354.81 Typical High $371.54 | Professional | UE · Used equipment | $346.74 | $354.81 | $371.54 |
Where Virginia sits
The same service costs 2.6 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· 26th of 51
$457
HI $724DE $282
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.