How much rates vary
Facilitymedian $1,698 · 10th to 90th $1,230 to $3,631Professionalmedian $1,445 · 10th to 90th $977 to $1,950
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 $1,230.27 Median $1,230.27 Typical High $1,258.93 | Facility | None | $1,230.27 | $1,230.27 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,230.27 Typical High $1,258.93 | Professional | None | $1,174.90 | $1,230.27 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,570.40 | Facility | None | $2,398.83 | $2,398.83 | $2,570.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,659.59 | Professional | None | $1,445.44 | $1,445.44 | $1,659.59 |
CareFirst Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,659.59 | Professional | None | $1,318.26 | $1,318.26 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,258.93 | $1,348.96 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,348.96 | Professional | None | $977.24 | $977.24 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,698.24 Median $2,398.83 Typical High $3,090.30 | Professional | None | $1,698.24 | $2,398.83 | $3,090.30 |
Medcost Setting Professional Modifier None Typical Low $1,412.54 Median $1,584.89 Typical High $2,187.76 | Professional | None | $1,412.54 | $1,584.89 | $2,187.76 |
Medcost Setting Facility Modifier None Typical Low $758.58 Median $1,288.25 Typical High $1,548.82 | Facility | None | $758.58 | $1,288.25 | $1,548.82 |
Medcost Setting Professional Modifier None Typical Low $1,288.25 Median $1,348.96 Typical High $1,548.82 | Professional | None | $1,288.25 | $1,348.96 | $1,548.82 |
Sentara Setting Facility Modifier None Typical Low $1,174.90 Median $1,698.24 Typical High $5,011.87 | Facility | None | $1,174.90 | $1,698.24 | $5,011.87 |
Sentara Setting Professional Modifier None Typical Low $1,288.25 Median $1,778.28 Typical High $3,630.78 | Professional | None | $1,288.25 | $1,778.28 | $3,630.78 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,548.13 | Facility | None | $2,951.21 | $2,951.21 | $3,548.13 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $1,778.28 | Professional | None | $1,071.52 | $1,174.90 | $1,778.28 |
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 $588.84 Median $616.60 Typical High $630.96 | Professional | 52 · Reduced service | $588.84 | $616.60 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $245.47 Typical High $251.19 | Professional | 53 · Discontinued | $234.42 | $245.47 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $186.21 Typical High $186.21 | Professional | 55 · Aftercare only | $177.83 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $123.03 Typical High $125.89 | Professional | 56 · Pre-op care only | $117.49 | $123.03 | $125.89 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $147.91 Median $147.91 Typical High $169.82 | Professional | RR · Rental | $147.91 | $147.91 | $169.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,096.48 Median $1,122.02 Typical High $1,174.90 | Professional | UE · Used equipment | $1,096.48 | $1,122.02 | $1,174.90 |
Where Virginia sits
The same service costs 2.6 times more in Montana 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· 29th of 51
$1,445
MT $2,512DE $977
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.