How much rates vary
Facilitymedian $631 · 10th to 90th $407 to $1,175Professionalmedian $457 · 10th to 90th $380 to $661
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 $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $831.76 | Facility | None | $776.25 | $776.25 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $524.81 | Professional | None | $457.09 | $457.09 | $524.81 |
CareFirst Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $537.03 | Professional | None | $407.38 | $407.38 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $660.69 Typical High $660.69 | Facility | None | $407.38 | $660.69 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $660.69 | Professional | None | $489.78 | $489.78 | $660.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $549.54 Median $776.25 Typical High $1,023.29 | Professional | None | $549.54 | $776.25 | $1,023.29 |
Medcost Setting Professional Modifier None Typical Low $457.09 Median $512.86 Typical High $707.95 | Professional | None | $457.09 | $512.86 | $707.95 |
Medcost Setting Facility Modifier None Typical Low $269.15 Median $416.87 Typical High $512.86 | Facility | None | $269.15 | $416.87 | $512.86 |
Medcost Setting Professional Modifier None Typical Low $338.84 Median $426.58 Typical High $512.86 | Professional | None | $338.84 | $426.58 | $512.86 |
Sentara Setting Facility Modifier None Typical Low $380.19 Median $537.03 Typical High $1,659.59 | Facility | None | $380.19 | $537.03 | $1,659.59 |
Sentara Setting Professional Modifier None Typical Low $416.87 Median $575.44 Typical High $1,174.90 | Professional | None | $416.87 | $575.44 | $1,174.90 |
United Setting Facility Modifier None Typical Low $501.19 Median $549.54 Typical High $1,023.29 | Facility | None | $501.19 | $549.54 | $1,023.29 |
United Setting Professional Modifier None Typical Low $354.81 Median $380.19 Typical High $588.84 | Professional | None | $354.81 | $380.19 | $588.84 |
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 $199.53 Median $199.53 Typical High $204.17 | Professional | 52 · Reduced service | $199.53 | $199.53 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $61.66 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 56 · Pre-op care only | $40.74 | $40.74 | $40.74 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $47.86 Median $47.86 Typical High $61.66 | Professional | RR · Rental | $47.86 | $47.86 | $61.66 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $354.81 Typical High $371.54 | Professional | UE · Used equipment | $346.74 | $354.81 | $371.54 |
Where Virginia sits
The same service costs 4.1 times more in Hawaii than in Kansas. 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· 42nd of 51
$479
HI $1,380KS $339
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.