How much rates vary
Facilitymedian $1,905 · 10th to 90th $1,230 to $3,548Professionalmedian $1,380 · 10th to 90th $1,148 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 $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,511.89 | Facility | None | $2,344.23 | $2,344.23 | $2,511.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,584.89 | Professional | None | $1,380.38 | $1,380.38 | $1,584.89 |
CareFirst Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,621.81 | Professional | None | $1,230.27 | $1,230.27 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,318.26 | $1,949.84 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,949.84 | Professional | None | $1,445.44 | $1,445.44 | $1,949.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,659.59 Median $2,344.23 Typical High $3,090.30 | Professional | None | $1,659.59 | $2,344.23 | $3,090.30 |
Medcost Setting Professional Modifier None Typical Low $1,412.54 Median $1,548.82 Typical High $2,137.96 | Professional | None | $1,412.54 | $1,548.82 | $2,137.96 |
Medcost Setting Facility Modifier None Typical Low $812.83 Median $1,258.93 Typical High $1,548.82 | Facility | None | $812.83 | $1,258.93 | $1,548.82 |
Medcost Setting Professional Modifier None Typical Low $1,258.93 Median $1,288.25 Typical High $1,819.70 | Professional | None | $1,258.93 | $1,288.25 | $1,819.70 |
Sentara Setting Facility Modifier None Typical Low $1,148.15 Median $1,621.81 Typical High $4,897.79 | Facility | None | $1,148.15 | $1,621.81 | $4,897.79 |
Sentara Setting Professional Modifier None Typical Low $1,258.93 Median $1,737.80 Typical High $3,548.13 | Professional | None | $1,258.93 | $1,737.80 | $3,548.13 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,258.93 Typical High $3,162.28 | Facility | None | $1,096.48 | $1,258.93 | $3,162.28 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,148.15 Typical High $1,778.28 | Professional | None | $1,071.52 | $1,148.15 | $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 $602.56 Median $602.56 Typical High $616.60 | Professional | 52 · Reduced service | $602.56 | $602.56 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $186.21 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $123.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $144.54 Median $144.54 Typical High $186.21 | Professional | RR · Rental | $144.54 | $144.54 | $186.21 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,047.13 Median $1,071.52 Typical High $1,122.02 | Professional | UE · Used equipment | $1,047.13 | $1,071.52 | $1,122.02 |
Where Virginia sits
The same service costs 2.4 times more in Minnesota than in Washington, DC. 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
$1,445
MN $2,951DC $1,230
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.