How much rates vary
Facilitymedian $3,388 · 10th to 90th $2,344 to $6,607Professionalmedian $2,512 · 10th to 90th $2,188 to $3,631
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 $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,290.87 | $2,344.23 | $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 $2,511.89 Median $2,511.89 Typical High $2,884.03 | Professional | None | $2,511.89 | $2,511.89 | $2,884.03 |
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 $2,041.74 Median $3,388.44 Typical High $3,388.44 | Facility | None | $2,041.74 | $3,388.44 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,388.44 | Professional | None | $2,454.71 | $2,454.71 | $3,388.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,162.28 Median $4,466.84 Typical High $5,888.44 | Professional | None | $3,162.28 | $4,466.84 | $5,888.44 |
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 $1,445.44 Median $2,398.83 Typical High $2,951.21 | Facility | None | $1,445.44 | $2,398.83 | $2,951.21 |
Medcost Setting Professional Modifier None Typical Low $1,230.27 Median $2,344.23 Typical High $2,951.21 | Professional | None | $1,230.27 | $2,344.23 | $2,951.21 |
Sentara Setting Facility Modifier None Typical Low $1,819.70 Median $3,090.30 Typical High $8,709.64 | Facility | None | $1,819.70 | $3,090.30 | $8,709.64 |
Sentara Setting Professional Modifier None Typical Low $2,041.74 Median $3,311.31 Typical High $6,760.83 | Professional | None | $2,041.74 | $3,311.31 | $6,760.83 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $6,606.93 | Facility | None | $2,398.83 | $2,398.83 | $6,606.93 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $2,187.76 Typical High $3,311.31 | Professional | None | $2,041.74 | $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 $1,148.15 Median $1,148.15 Typical High $1,174.90 | Professional | 52 · Reduced service | $1,148.15 | $1,148.15 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $467.74 Typical High $467.74 | Professional | 53 · Discontinued | $457.09 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $346.74 Typical High $354.81 | Professional | 55 · Aftercare only | $346.74 | $346.74 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $229.09 Median $234.42 Typical High $234.42 | Professional | 56 · Pre-op care only | $229.09 | $234.42 | $234.42 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $257.04 Median $257.04 Typical High $323.59 | Professional | RR · Rental | $257.04 | $257.04 | $323.59 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,905.46 Median $1,949.84 Typical High $2,041.74 | Professional | UE · Used equipment | $1,905.46 | $1,949.84 | $2,041.74 |
Where Virginia sits
The same service costs 2.1 times more in Montana than in South Carolina. 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· 36th of 51
$2,512
MT $4,898SC $2,344
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.