How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,950 to $5,754Professionalmedian $2,239 · 10th to 90th $1,862 to $3,090
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 $1,949.84 Median $1,949.84 Typical High $1,995.26 | Facility | None | $1,949.84 | $1,949.84 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,995.26 | Professional | None | $1,949.84 | $1,949.84 | $1,995.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,981.07 | Facility | None | $3,801.89 | $3,801.89 | $3,981.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,754.23 | Professional | None | $2,238.72 | $2,238.72 | $2,754.23 |
CareFirst Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,570.40 | Professional | None | $1,995.26 | $1,995.26 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $2,951.21 Typical High $2,951.21 | Facility | None | $1,819.70 | $2,951.21 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,951.21 | Professional | None | $2,187.76 | $2,187.76 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,630.27 Median $3,801.89 Typical High $4,897.79 | Professional | None | $2,630.27 | $3,801.89 | $4,897.79 |
Medcost Setting Professional Modifier None Typical Low $2,238.72 Median $2,454.71 Typical High $3,467.37 | Professional | None | $2,238.72 | $2,454.71 | $3,467.37 |
Medcost Setting Facility Modifier None Typical Low $1,318.26 Median $2,041.74 Typical High $2,454.71 | Facility | None | $1,318.26 | $2,041.74 | $2,454.71 |
Medcost Setting Professional Modifier None Typical Low $1,698.24 Median $2,187.76 Typical High $2,454.71 | Professional | None | $1,698.24 | $2,187.76 | $2,454.71 |
Sentara Setting Facility Modifier None Typical Low $1,819.70 Median $2,570.40 Typical High $7,413.10 | Facility | None | $1,819.70 | $2,570.40 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $1,949.84 Median $2,754.23 Typical High $5,754.40 | Professional | None | $1,949.84 | $2,754.23 | $5,754.40 |
United Setting Facility Modifier None Typical Low $2,041.74 Median $2,951.21 Typical High $5,011.87 | Facility | None | $2,041.74 | $2,951.21 | $5,011.87 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $1,862.09 Typical High $2,818.38 | Professional | None | $1,737.80 | $1,862.09 | $2,818.38 |
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 $977.24 Median $977.24 Typical High $977.24 | Professional | 52 · Reduced service | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $398.11 | Professional | 53 · Discontinued | $389.05 | $389.05 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 55 · Aftercare only | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $194.98 Typical High $199.53 | Professional | 56 · Pre-op care only | $194.98 | $194.98 | $199.53 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $223.87 Median $223.87 Typical High $295.12 | Professional | RR · Rental | $223.87 | $223.87 | $295.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,698.24 Median $1,698.24 Typical High $1,819.70 | Professional | UE · Used equipment | $1,698.24 | $1,698.24 | $1,819.70 |
Where Virginia sits
The same service costs 2.5 times more in Montana 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· 41st of 51
$2,239
MT $4,898DC $1,995
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.