How much rates vary
Facilitymedian $3,548 · 10th to 90th $2,399 to $7,079Professionalmedian $2,818 · 10th to 90th $2,291 to $3,802
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 $2,398.83 Median $2,398.83 Typical High $2,454.71 | Facility | None | $2,398.83 | $2,398.83 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,454.71 | Professional | None | $2,398.83 | $2,398.83 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $5,011.87 | Facility | None | $4,677.35 | $4,677.35 | $5,011.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $3,467.37 | Professional | None | $2,818.38 | $2,818.38 | $3,467.37 |
CareFirst Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,235.94 | Professional | None | $2,454.71 | $2,454.71 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $2,344.23 Median $3,548.13 Typical High $3,548.13 | Facility | None | $2,344.23 | $3,548.13 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,548.13 | Professional | None | $2,570.40 | $2,570.40 | $3,548.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,235.94 Median $4,677.35 Typical High $6,025.60 | Professional | None | $3,235.94 | $4,677.35 | $6,025.60 |
Medcost Setting Professional Modifier None Typical Low $2,754.23 Median $3,090.30 Typical High $4,265.80 | Professional | None | $2,754.23 | $3,090.30 | $4,265.80 |
Medcost Setting Facility Modifier None Typical Low $1,621.81 Median $2,511.89 Typical High $3,019.95 | Facility | None | $1,621.81 | $2,511.89 | $3,019.95 |
Medcost Setting Professional Modifier None Typical Low $2,041.74 Median $2,630.27 Typical High $3,019.95 | Professional | None | $2,041.74 | $2,630.27 | $3,019.95 |
Sentara Setting Facility Modifier None Typical Low $2,238.72 Median $3,162.28 Typical High $9,120.11 | Facility | None | $2,238.72 | $3,162.28 | $9,120.11 |
Sentara Setting Professional Modifier None Typical Low $2,398.83 Median $3,467.37 Typical High $7,079.46 | Professional | None | $2,398.83 | $3,467.37 | $7,079.46 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $3,890.45 Typical High $6,165.95 | Facility | None | $3,019.95 | $3,890.45 | $6,165.95 |
United Setting Professional Modifier None Typical Low $2,137.96 Median $2,290.87 Typical High $3,548.13 | Professional | None | $2,137.96 | $2,290.87 | $3,548.13 |
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 $1,202.26 Median $1,202.26 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,202.26 | $1,202.26 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $478.63 Typical High $489.78 | Professional | 53 · Discontinued | $478.63 | $478.63 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 55 · Aftercare only | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $239.88 Typical High $245.47 | Professional | 56 · Pre-op care only | $239.88 | $239.88 | $245.47 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $281.84 Median $281.84 Typical High $363.08 | Professional | RR · Rental | $281.84 | $281.84 | $363.08 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,089.30 Median $2,089.30 Typical High $2,290.87 | Professional | UE · Used equipment | $2,089.30 | $2,089.30 | $2,290.87 |
Where Virginia sits
The same service costs 3.0 times more in Hawaii than in Pennsylvania. 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· 32nd of 51
$2,818
HI $7,413PA $2,455
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.