How much rates vary
Facilitymedian $933 · 10th to 90th $589 to $1,862Professionalmedian $692 · 10th to 90th $603 to $1,000
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 $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,318.26 | Facility | None | $1,230.27 | $1,230.27 | $1,318.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $794.33 | Professional | None | $691.83 | $691.83 | $794.33 |
CareFirst Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $851.14 | Professional | None | $645.65 | $645.65 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $933.25 Typical High $933.25 | Facility | None | $645.65 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $933.25 | Professional | None | $676.08 | $676.08 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $870.96 Median $1,230.27 Typical High $1,621.81 | Professional | None | $870.96 | $1,230.27 | $1,621.81 |
Medcost Setting Professional Modifier None Typical Low $776.25 Median $812.83 Typical High $1,148.15 | Professional | None | $776.25 | $812.83 | $1,148.15 |
Medcost Setting Facility Modifier None Typical Low $407.38 Median $660.69 Typical High $812.83 | Facility | None | $407.38 | $660.69 | $812.83 |
Medcost Setting Professional Modifier None Typical Low $645.65 Median $660.69 Typical High $912.01 | Professional | None | $645.65 | $660.69 | $912.01 |
Sentara Setting Facility Modifier None Typical Low $602.56 Median $851.14 Typical High $2,691.53 | Facility | None | $602.56 | $851.14 | $2,691.53 |
Sentara Setting Professional Modifier None Typical Low $660.69 Median $912.01 Typical High $1,862.09 | Professional | None | $660.69 | $912.01 | $1,862.09 |
United Setting Facility Modifier None Typical Low $478.63 Median $575.44 Typical High $1,584.89 | Facility | None | $478.63 | $575.44 | $1,584.89 |
United Setting Professional Modifier None Typical Low $562.34 Median $602.56 Typical High $912.01 | Professional | None | $562.34 | $602.56 | $912.01 |
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 $323.59 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $97.72 | Professional | 55 · Aftercare only | $95.50 | $95.50 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $64.57 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $72.44 Median $72.44 Typical High $91.20 | Professional | RR · Rental | $72.44 | $72.44 | $91.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $524.81 Median $537.03 Typical High $562.34 | Professional | UE · Used equipment | $524.81 | $537.03 | $562.34 |
Where Virginia sits
The same service costs 2.1 times more in Wisconsin 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
$692
WI $1,349DC $646
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.