How much rates vary
Facilitymedian $1,514 · 10th to 90th $1,202 to $3,467Professionalmedian $1,380 · 10th to 90th $1,047 to $1,905
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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,454.71 | Facility | None | $2,344.23 | $2,344.23 | $2,454.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,698.24 | Professional | None | $1,380.38 | $1,380.38 | $1,698.24 |
CareFirst Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,584.89 | Professional | None | $1,230.27 | $1,230.27 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,288.25 | $1,412.54 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,412.54 | Professional | None | $1,047.13 | $1,047.13 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,621.81 Median $2,344.23 Typical High $3,019.95 | Professional | None | $1,621.81 | $2,344.23 | $3,019.95 |
Medcost Setting Professional Modifier None Typical Low $1,380.38 Median $1,513.56 Typical High $2,137.96 | Professional | None | $1,380.38 | $1,513.56 | $2,137.96 |
Medcost Setting Facility Modifier None Typical Low $812.83 Median $1,258.93 Typical High $1,513.56 | Facility | None | $812.83 | $1,258.93 | $1,513.56 |
Medcost Setting Professional Modifier None Typical Low $1,202.26 Median $1,288.25 Typical High $1,584.89 | Professional | None | $1,202.26 | $1,288.25 | $1,584.89 |
Sentara Setting Facility Modifier None Typical Low $1,122.02 Median $1,584.89 Typical High $4,786.30 | Facility | None | $1,122.02 | $1,584.89 | $4,786.30 |
Sentara Setting Professional Modifier None Typical Low $1,258.93 Median $1,698.24 Typical High $3,467.37 | Professional | None | $1,258.93 | $1,698.24 | $3,467.37 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,513.56 Typical High $3,090.30 | Facility | None | $1,348.96 | $1,513.56 | $3,090.30 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,148.15 Typical High $1,737.80 | Professional | None | $1,071.52 | $1,148.15 | $1,737.80 |
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 $602.56 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $245.47 | Professional | 53 · Discontinued | $239.88 | $239.88 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $120.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $138.04 Median $138.04 Typical High $186.21 | Professional | RR · Rental | $138.04 | $138.04 | $186.21 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,023.29 Median $1,023.29 Typical High $1,122.02 | Professional | UE · Used equipment | $1,023.29 | $1,023.29 | $1,122.02 |
Where Virginia sits
The same service costs 3.2 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· 37th of 51
$1,380
HI $3,388DE $1,047
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.