How much rates vary
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 $660.69 Median $660.69 Typical High $676.08 | Facility | None | $660.69 | $660.69 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $660.69 Typical High $676.08 | Professional | None | $630.96 | $660.69 | $676.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,380.38 | Facility | None | $1,288.25 | $1,288.25 | $1,380.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $891.25 | Professional | None | $776.25 | $776.25 | $891.25 |
CareFirst Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $891.25 | Professional | None | $707.95 | $707.95 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $724.44 Typical High $724.44 | Facility | None | $562.34 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $724.44 | Professional | None | $524.81 | $524.81 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $912.01 Median $1,288.25 Typical High $1,698.24 | Professional | None | $912.01 | $1,288.25 | $1,698.24 |
Medcost Setting Professional Modifier None Typical Low $758.58 Median $851.14 Typical High $1,174.90 | Professional | None | $758.58 | $851.14 | $1,174.90 |
Medcost Setting Facility Modifier None Typical Low $407.38 Median $691.83 Typical High $851.14 | Facility | None | $407.38 | $691.83 | $851.14 |
Medcost Setting Professional Modifier None Typical Low $691.83 Median $724.44 Typical High $851.14 | Professional | None | $691.83 | $724.44 | $851.14 |
Sentara Setting Facility Modifier None Typical Low $630.96 Median $912.01 Typical High $2,754.23 | Facility | None | $630.96 | $912.01 | $2,754.23 |
Sentara Setting Professional Modifier None Typical Low $691.83 Median $954.99 Typical High $1,949.84 | Professional | None | $691.83 | $954.99 | $1,949.84 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,905.46 | Facility | None | $1,584.89 | $1,584.89 | $1,905.46 |
United Setting Professional Modifier None Typical Low $575.44 Median $630.96 Typical High $954.99 | Professional | None | $575.44 | $630.96 | $954.99 |
4 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 55 · Aftercare only Typical Low $95.50 Median $100.00 Typical High $102.33 | Professional | 55 · Aftercare only | $95.50 | $100.00 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $66.07 Typical High $67.61 | Professional | 56 · Pre-op care only | $63.10 | $66.07 | $67.61 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $79.43 Median $79.43 Typical High $91.20 | Professional | RR · Rental | $79.43 | $79.43 | $91.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $602.56 Typical High $630.96 | Professional | UE · Used equipment | $588.84 | $602.56 | $630.96 |
Where Virginia sits
The same service costs 2.4 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· 32nd of 51
$776
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.