How much rates vary
Facilitymedian $912 · 10th to 90th $676 to $1,995Professionalmedian $794 · 10th to 90th $646 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 $676.08 Median $676.08 Typical High $691.83 | Facility | None | $676.08 | $676.08 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $724.44 | Professional | None | $676.08 | $676.08 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,380.38 | Facility | None | $1,318.26 | $1,318.26 | $1,380.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $977.24 | Professional | None | $794.33 | $794.33 | $977.24 |
CareFirst Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $912.01 | Professional | None | $691.83 | $691.83 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $912.01 Typical High $912.01 | Facility | None | $549.54 | $912.01 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $912.01 | Professional | None | $660.69 | $660.69 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $912.01 Median $1,318.26 Typical High $1,698.24 | Professional | None | $912.01 | $1,318.26 | $1,698.24 |
Medcost Setting Professional Modifier None Typical Low $851.14 Median $870.96 Typical High $1,202.26 | Professional | None | $851.14 | $870.96 | $1,202.26 |
Medcost Setting Facility Modifier None Typical Low $457.09 Median $707.95 Typical High $851.14 | Facility | None | $457.09 | $707.95 | $851.14 |
Medcost Setting Professional Modifier None Typical Low $575.44 Median $776.25 Typical High $954.99 | Professional | None | $575.44 | $776.25 | $954.99 |
Sentara Setting Facility Modifier None Typical Low $645.65 Median $912.01 Typical High $2,818.38 | Facility | None | $645.65 | $912.01 | $2,818.38 |
Sentara Setting Professional Modifier None Typical Low $707.95 Median $977.24 Typical High $1,995.26 | Professional | None | $707.95 | $977.24 | $1,995.26 |
United Setting Facility Modifier None Typical Low $575.44 Median $676.08 Typical High $1,737.80 | Facility | None | $575.44 | $676.08 | $1,737.80 |
United Setting Professional Modifier None Typical Low $602.56 Median $645.65 Typical High $1,000.00 | Professional | None | $602.56 | $645.65 | $1,000.00 |
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 $338.84 Median $338.84 Typical High $363.08 | Professional | 52 · Reduced service | $338.84 | $338.84 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $144.54 | Professional | 53 · Discontinued | $134.90 | $134.90 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $109.65 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $72.44 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $72.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $79.43 Median $79.43 Typical High $104.71 | Professional | RR · Rental | $79.43 | $79.43 | $104.71 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $588.84 Typical High $630.96 | Professional | UE · Used equipment | $588.84 | $588.84 | $630.96 |
Where Virginia sits
The same service costs 2.3 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· 38th of 51
$794
HI $1,514DE $661
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.