How much rates vary
Facilitymedian $457 · 10th to 90th $347 to $1,000Professionalmedian $389 · 10th to 90th $302 to $537
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 $338.84 Median $338.84 Typical High $346.74 | Facility | None | $338.84 | $338.84 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $346.74 | Professional | None | $338.84 | $338.84 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $691.83 | Facility | None | $660.69 | $660.69 | $691.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $478.63 | Professional | None | $389.05 | $389.05 | $478.63 |
CareFirst Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $446.68 | Professional | None | $346.74 | $346.74 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $416.87 Typical High $416.87 | Facility | None | $275.42 | $416.87 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $416.87 | Professional | None | $302.00 | $302.00 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $660.69 Typical High $851.14 | Professional | None | $457.09 | $660.69 | $851.14 |
Medcost Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $602.56 | Professional | None | $426.58 | $426.58 | $602.56 |
Medcost Setting Facility Modifier None Typical Low $223.87 Median $354.81 Typical High $426.58 | Facility | None | $223.87 | $354.81 | $426.58 |
Medcost Setting Professional Modifier None Typical Low $288.40 Median $380.19 Typical High $426.58 | Professional | None | $288.40 | $380.19 | $426.58 |
Sentara Setting Facility Modifier None Typical Low $323.59 Median $457.09 Typical High $1,412.54 | Facility | None | $323.59 | $457.09 | $1,412.54 |
Sentara Setting Professional Modifier None Typical Low $354.81 Median $478.63 Typical High $1,000.00 | Professional | None | $354.81 | $478.63 | $1,000.00 |
United Setting Facility Modifier None Typical Low $426.58 Median $467.74 Typical High $870.96 | Facility | None | $426.58 | $467.74 | $870.96 |
United Setting Professional Modifier None Typical Low $302.00 Median $323.59 Typical High $489.78 | Professional | None | $302.00 | $323.59 | $489.78 |
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 $169.82 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $69.18 | Professional | 53 · Discontinued | $67.61 | $67.61 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $34.67 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $34.67 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.90 Median $38.90 Typical High $51.29 | Professional | RR · Rental | $38.90 | $38.90 | $51.29 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $295.12 Typical High $316.23 | Professional | UE · Used equipment | $295.12 | $295.12 | $316.23 |
Where Virginia sits
The same service costs 3.9 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· 36th of 51
$389
HI $1,175DE $302
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.