How much rates vary
Facilitymedian $2,692 · 10th to 90th $2,042 to $5,754Professionalmedian $2,138 · 10th to 90th $1,585 to $3,162
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 $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,995.26 | $2,041.74 | $2,041.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $4,168.69 | Facility | None | $3,890.45 | $3,890.45 | $4,168.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,454.71 | Professional | None | $2,137.96 | $2,137.96 | $2,454.71 |
CareFirst Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,691.53 | Professional | None | $2,041.74 | $2,041.74 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,041.74 | $2,137.96 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,137.96 | Professional | None | $1,584.89 | $1,584.89 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,754.23 Median $3,890.45 Typical High $5,128.61 | Professional | None | $2,754.23 | $3,890.45 | $5,128.61 |
Medcost Setting Professional Modifier None Typical Low $2,290.87 Median $2,570.40 Typical High $3,630.78 | Professional | None | $2,290.87 | $2,570.40 | $3,630.78 |
Medcost Setting Facility Modifier None Typical Low $1,230.27 Median $2,089.30 Typical High $2,570.40 | Facility | None | $1,230.27 | $2,089.30 | $2,570.40 |
Medcost Setting Professional Modifier None Typical Low $1,659.59 Median $2,089.30 Typical High $2,570.40 | Professional | None | $1,659.59 | $2,089.30 | $2,570.40 |
Sentara Setting Facility Modifier None Typical Low $1,905.46 Median $2,691.53 Typical High $7,585.78 | Facility | None | $1,905.46 | $2,691.53 | $7,585.78 |
Sentara Setting Professional Modifier None Typical Low $2,089.30 Median $2,884.03 Typical High $5,888.44 | Professional | None | $2,089.30 | $2,884.03 | $5,888.44 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $5,623.41 | Facility | None | $1,949.84 | $1,949.84 | $5,623.41 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $1,905.46 Typical High $2,884.03 | Professional | None | $1,737.80 | $1,905.46 | $2,884.03 |
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 $1,000.00 Median $1,023.29 Typical High $1,023.29 | Professional | 52 · Reduced service | $1,000.00 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $407.38 Typical High $407.38 | Professional | 53 · Discontinued | $398.11 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $302.00 Typical High $309.03 | Professional | 55 · Aftercare only | $302.00 | $302.00 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $204.17 Typical High $204.17 | Professional | 56 · Pre-op care only | $199.53 | $204.17 | $204.17 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $218.78 Median $218.78 Typical High $275.42 | Professional | RR · Rental | $218.78 | $218.78 | $275.42 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,621.81 Median $1,659.59 Typical High $1,819.70 | Professional | UE · Used equipment | $1,621.81 | $1,659.59 | $1,819.70 |
Where Virginia sits
The same service costs 2.6 times more in Wisconsin 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
$2,138
WI $4,074DE $1,585
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.