How much rates vary
Facilitymedian $479 · 10th to 90th $363 to $1,047Professionalmedian $417 · 10th to 90th $309 to $575
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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $741.31 | Facility | None | $707.95 | $707.95 | $741.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $467.74 | Professional | None | $416.87 | $416.87 | $467.74 |
CareFirst Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $478.63 | Professional | None | $371.54 | $371.54 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $426.58 Typical High $426.58 | Facility | None | $371.54 | $426.58 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $426.58 | Professional | None | $309.03 | $309.03 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $707.95 Typical High $912.01 | Professional | None | $489.78 | $707.95 | $912.01 |
Medcost Setting Professional Modifier None Typical Low $416.87 Median $457.09 Typical High $645.65 | Professional | None | $416.87 | $457.09 | $645.65 |
Medcost Setting Facility Modifier None Typical Low $239.88 Median $380.19 Typical High $457.09 | Facility | None | $239.88 | $380.19 | $457.09 |
Medcost Setting Professional Modifier None Typical Low $309.03 Median $380.19 Typical High $457.09 | Professional | None | $309.03 | $380.19 | $457.09 |
Sentara Setting Facility Modifier None Typical Low $338.84 Median $478.63 Typical High $1,513.56 | Facility | None | $338.84 | $478.63 | $1,513.56 |
Sentara Setting Professional Modifier None Typical Low $380.19 Median $512.86 Typical High $1,047.13 | Professional | None | $380.19 | $512.86 | $1,047.13 |
United Setting Facility Modifier None Typical Low $426.58 Median $457.09 Typical High $933.25 | Facility | None | $426.58 | $457.09 | $933.25 |
United Setting Professional Modifier None Typical Low $316.23 Median $346.74 Typical High $524.81 | Professional | None | $316.23 | $346.74 | $524.81 |
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 $181.97 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $74.13 | Professional | 53 · Discontinued | $72.44 | $72.44 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 56 · Pre-op care only | $36.31 | $36.31 | $36.31 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $42.66 Median $42.66 Typical High $54.95 | Professional | RR · Rental | $42.66 | $42.66 | $54.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $309.03 Median $323.59 Typical High $338.84 | Professional | UE · Used equipment | $309.03 | $323.59 | $338.84 |
Where Virginia sits
The same service costs 3.8 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· 35th of 51
$417
HI $1,175DE $309
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.