How much rates vary
Facilitymedian $1,413 · 10th to 90th $977 to $2,818Professionalmedian $1,122 · 10th to 90th $912 to $1,514
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 $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,995.26 | Facility | None | $1,862.09 | $1,862.09 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,288.25 | Professional | None | $1,122.02 | $1,122.02 | $1,288.25 |
CareFirst Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,288.25 | Professional | None | $977.24 | $977.24 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,412.54 Typical High $1,412.54 | Facility | None | $870.96 | $1,412.54 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,412.54 | Professional | None | $1,023.29 | $1,023.29 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $2,454.71 | Professional | None | $1,318.26 | $1,862.09 | $2,454.71 |
Medcost Setting Professional Modifier None Typical Low $1,096.48 Median $1,230.27 Typical High $1,737.80 | Professional | None | $1,096.48 | $1,230.27 | $1,737.80 |
Medcost Setting Facility Modifier None Typical Low $645.65 Median $1,000.00 Typical High $1,230.27 | Facility | None | $645.65 | $1,000.00 | $1,230.27 |
Medcost Setting Professional Modifier None Typical Low $1,000.00 Median $1,023.29 Typical High $1,348.96 | Professional | None | $1,000.00 | $1,023.29 | $1,348.96 |
Sentara Setting Facility Modifier None Typical Low $912.01 Median $1,288.25 Typical High $4,073.80 | Facility | None | $912.01 | $1,288.25 | $4,073.80 |
Sentara Setting Professional Modifier None Typical Low $1,000.00 Median $1,380.38 Typical High $2,818.38 | Professional | None | $1,000.00 | $1,380.38 | $2,818.38 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,318.26 Typical High $2,511.89 | Facility | None | $1,230.27 | $1,318.26 | $2,511.89 |
United Setting Professional Modifier None Typical Low $851.14 Median $912.01 Typical High $1,412.54 | Professional | None | $851.14 | $912.01 | $1,412.54 |
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 $489.78 Median $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 53 · Discontinued | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $147.91 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $97.72 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $114.82 Median $114.82 Typical High $147.91 | Professional | RR · Rental | $114.82 | $114.82 | $147.91 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $851.14 Median $870.96 Typical High $912.01 | Professional | UE · Used equipment | $851.14 | $870.96 | $912.01 |
Where Virginia sits
The same service costs 3.6 times more in Hawaii than in Washington, DC. 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· 35th of 51
$1,122
HI $3,548DC $977
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.