How much rates vary
Facilitymedian $3,090 · 10th to 90th $2,344 to $6,918Professionalmedian $2,692 · 10th to 90th $2,042 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 $2,344.23 Median $2,344.23 Typical High $2,398.83 | Facility | None | $2,344.23 | $2,344.23 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $2,344.23 Typical High $2,398.83 | Professional | None | $2,290.87 | $2,344.23 | $2,398.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $4,786.30 | Facility | None | $4,570.88 | $4,570.88 | $4,786.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $3,090.30 | Professional | None | $2,691.53 | $2,691.53 | $3,090.30 |
CareFirst Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $3,090.30 | Professional | None | $2,398.83 | $2,398.83 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,398.83 | $2,754.23 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,754.23 | Professional | None | $2,041.74 | $2,041.74 | $2,754.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,162.28 Median $4,570.88 Typical High $5,888.44 | Professional | None | $3,162.28 | $4,570.88 | $5,888.44 |
Medcost Setting Professional Modifier None Typical Low $2,691.53 Median $2,951.21 Typical High $4,168.69 | Professional | None | $2,691.53 | $2,951.21 | $4,168.69 |
Medcost Setting Facility Modifier None Typical Low $1,584.89 Median $2,454.71 Typical High $2,951.21 | Facility | None | $1,584.89 | $2,454.71 | $2,951.21 |
Medcost Setting Professional Modifier None Typical Low $2,454.71 Median $2,511.89 Typical High $3,467.37 | Professional | None | $2,454.71 | $2,511.89 | $3,467.37 |
Sentara Setting Facility Modifier None Typical Low $2,187.76 Median $3,090.30 Typical High $8,709.64 | Facility | None | $2,187.76 | $3,090.30 | $8,709.64 |
Sentara Setting Professional Modifier None Typical Low $2,344.23 Median $3,311.31 Typical High $6,918.31 | Professional | None | $2,344.23 | $3,311.31 | $6,918.31 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $2,511.89 Typical High $6,025.60 | Facility | None | $2,454.71 | $2,511.89 | $6,025.60 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $2,238.72 Typical High $3,388.44 | Professional | None | $2,089.30 | $2,238.72 | $3,388.44 |
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 $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | 52 · Reduced service | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $467.74 Typical High $478.63 | Professional | 53 · Discontinued | $467.74 | $467.74 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 55 · Aftercare only | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $234.42 Typical High $239.88 | Professional | 56 · Pre-op care only | $234.42 | $234.42 | $239.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $275.42 Median $275.42 Typical High $354.81 | Professional | RR · Rental | $275.42 | $275.42 | $354.81 |
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 2.8 times more in Wyoming 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· 41st of 51
$2,692
WY $5,754DE $2,042
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.