How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,820 to $5,370Professionalmedian $1,950 · 10th to 90th $1,778 to $3,388
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 $1,905.46 Median $1,905.46 Typical High $1,949.84 | Facility | None | $1,905.46 | $1,905.46 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,905.46 Typical High $1,949.84 | Professional | None | $1,862.09 | $1,905.46 | $1,949.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,890.45 | Facility | None | $3,715.35 | $3,715.35 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,659.59 Median $2,454.71 Typical High $3,235.94 | Professional | None | $1,659.59 | $2,454.71 | $3,235.94 |
CareFirst Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,511.89 | Professional | None | $1,949.84 | $1,949.84 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,454.71 Typical High $2,454.71 | Facility | None | $1,659.59 | $2,454.71 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,454.71 | Professional | None | $1,819.70 | $1,819.70 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,570.40 Median $3,715.35 Typical High $4,786.30 | Professional | None | $2,570.40 | $3,715.35 | $4,786.30 |
Medcost Setting Professional Modifier None Typical Low $2,187.76 Median $2,398.83 Typical High $3,388.44 | Professional | None | $2,187.76 | $2,398.83 | $3,388.44 |
Medcost Setting Facility Modifier None Typical Low $1,122.02 Median $1,995.26 Typical High $2,398.83 | Facility | None | $1,122.02 | $1,995.26 | $2,398.83 |
Medcost Setting Professional Modifier None Typical Low $1,548.82 Median $1,995.26 Typical High $2,398.83 | Professional | None | $1,548.82 | $1,995.26 | $2,398.83 |
Sentara Setting Facility Modifier None Typical Low $1,778.28 Median $2,511.89 Typical High $7,413.10 | Facility | None | $1,778.28 | $2,511.89 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $1,905.46 Median $2,691.53 Typical High $5,623.41 | Professional | None | $1,905.46 | $2,691.53 | $5,623.41 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $1,949.84 Typical High $4,365.16 | Facility | None | $1,698.24 | $1,949.84 | $4,365.16 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $1,819.70 Typical High $2,754.23 | Professional | None | $1,621.81 | $1,819.70 | $2,754.23 |
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 $933.25 Median $954.99 Typical High $954.99 | Professional | 52 · Reduced service | $933.25 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $380.19 Typical High $389.05 | Professional | 53 · Discontinued | $371.54 | $380.19 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $288.40 Typical High $288.40 | Professional | 55 · Aftercare only | $281.84 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $190.55 Typical High $194.98 | Professional | 56 · Pre-op care only | $186.21 | $190.55 | $194.98 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $194.98 Median $194.98 Typical High $257.04 | Professional | RR · Rental | $194.98 | $194.98 | $257.04 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,445.44 Median $1,445.44 Typical High $1,548.82 | Professional | UE · Used equipment | $1,445.44 | $1,445.44 | $1,548.82 |
Where Virginia sits
The same service costs 2.4 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· 29th of 51
$2,089
HI $4,365DE $1,820
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.