How much rates vary
Facilitymedian $347 · 10th to 90th $257 to $759Professionalmedian $269 · 10th to 90th $229 to $407
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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $263.03 Typical High $263.03 | Professional | None | $245.47 | $263.03 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $537.03 | Facility | None | $512.86 | $512.86 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $331.13 | Professional | None | $269.15 | $269.15 | $331.13 |
CareFirst Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $346.74 | Professional | None | $269.15 | $269.15 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $316.23 Typical High $316.23 | Facility | None | $208.93 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $316.23 | Professional | None | $229.09 | $229.09 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $512.86 Typical High $660.69 | Professional | None | $354.81 | $512.86 | $660.69 |
Medcost Setting Professional Modifier None Typical Low $302.00 Median $331.13 Typical High $467.74 | Professional | None | $302.00 | $331.13 | $467.74 |
Medcost Setting Facility Modifier None Typical Low $154.88 Median $275.42 Typical High $331.13 | Facility | None | $154.88 | $275.42 | $331.13 |
Medcost Setting Professional Modifier None Typical Low $194.98 Median $263.03 Typical High $331.13 | Professional | None | $194.98 | $263.03 | $331.13 |
Sentara Setting Facility Modifier None Typical Low $245.47 Median $346.74 Typical High $1,096.48 | Facility | None | $245.47 | $346.74 | $1,096.48 |
Sentara Setting Professional Modifier None Typical Low $275.42 Median $371.54 Typical High $758.58 | Professional | None | $275.42 | $371.54 | $758.58 |
United Setting Facility Modifier None Typical Low $213.80 Median $257.04 Typical High $602.56 | Facility | None | $213.80 | $257.04 | $602.56 |
United Setting Professional Modifier None Typical Low $223.87 Median $245.47 Typical High $371.54 | Professional | None | $223.87 | $245.47 | $371.54 |
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 $123.03 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $123.03 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $48.98 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $38.90 Typical High $39.81 | Professional | 55 · Aftercare only | $36.31 | $38.90 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $26.30 Typical High $26.30 | Professional | 56 · Pre-op care only | $24.55 | $26.30 | $26.30 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $26.92 Median $26.92 Typical High $35.48 | Professional | RR · Rental | $26.92 | $26.92 | $35.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $204.17 Median $204.17 Typical High $218.78 | Professional | UE · Used equipment | $204.17 | $204.17 | $218.78 |
Where Virginia sits
The same service costs 2.5 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
$269
HI $562DE $229
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.