How much rates vary
Facilitymedian $3,162 · 10th to 90th $2,291 to $6,607Professionalmedian $2,692 · 10th to 90th $1,820 to $3,715
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 $2,290.87 Median $2,290.87 Typical High $2,344.23 | Facility | None | $2,290.87 | $2,290.87 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,290.87 Typical High $2,344.23 | Professional | None | $2,187.76 | $2,290.87 | $2,344.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,786.30 | Facility | None | $4,466.84 | $4,466.84 | $4,786.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $3,019.95 | Professional | None | $2,691.53 | $2,691.53 | $3,019.95 |
CareFirst Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,090.30 | Professional | None | $2,454.71 | $2,454.71 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $2,511.89 Typical High $2,511.89 | Facility | None | $1,949.84 | $2,511.89 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,511.89 | Professional | None | $1,819.70 | $1,819.70 | $2,511.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,090.30 Median $4,466.84 Typical High $5,754.40 | Professional | None | $3,090.30 | $4,466.84 | $5,754.40 |
Medcost Setting Professional Modifier None Typical Low $2,630.27 Median $2,951.21 Typical High $4,073.80 | Professional | None | $2,630.27 | $2,951.21 | $4,073.80 |
Medcost Setting Facility Modifier None Typical Low $1,412.54 Median $2,398.83 Typical High $2,884.03 | Facility | None | $1,412.54 | $2,398.83 | $2,884.03 |
Medcost Setting Professional Modifier None Typical Low $2,398.83 Median $2,511.89 Typical High $2,884.03 | Professional | None | $2,398.83 | $2,511.89 | $2,884.03 |
Sentara Setting Facility Modifier None Typical Low $2,187.76 Median $3,162.28 Typical High $8,709.64 | Facility | None | $2,187.76 | $3,162.28 | $8,709.64 |
Sentara Setting Professional Modifier None Typical Low $2,398.83 Median $3,388.44 Typical High $6,760.83 | Professional | None | $2,398.83 | $3,388.44 | $6,760.83 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $6,606.93 | Facility | None | $2,187.76 | $2,187.76 | $6,606.93 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $2,187.76 Typical High $3,311.31 | Professional | None | $1,995.26 | $2,187.76 | $3,311.31 |
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 $1,096.48 Median $1,148.15 Typical High $1,174.90 | Professional | 52 · Reduced service | $1,096.48 | $1,148.15 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $457.09 Typical High $467.74 | Professional | 53 · Discontinued | $436.52 | $457.09 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $346.74 Typical High $346.74 | Professional | 55 · Aftercare only | $331.13 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $229.09 Typical High $234.42 | Professional | 56 · Pre-op care only | $218.78 | $229.09 | $234.42 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $275.42 Median $275.42 Typical High $316.23 | Professional | RR · Rental | $275.42 | $275.42 | $316.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,041.74 Median $2,089.30 Typical High $2,187.76 | Professional | UE · Used equipment | $2,041.74 | $2,089.30 | $2,187.76 |
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· 29th of 51
$2,692
HI $4,786DE $1,820
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.