How much rates vary
Facilitymedian $158 · 10th to 90th $120 to $347Professionalmedian $117 · 10th to 90th $93 to $186
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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $120.23 Typical High $120.23 | Professional | None | $114.82 | $120.23 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $245.47 | Facility | None | $229.09 | $229.09 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $144.54 | Professional | None | $117.49 | $117.49 | $144.54 |
CareFirst Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $158.49 | Professional | None | $120.23 | $120.23 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $125.89 Typical High $125.89 | Facility | None | $102.33 | $125.89 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $125.89 | Professional | None | $93.33 | $93.33 | $125.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $229.09 Typical High $302.00 | Professional | None | $162.18 | $229.09 | $302.00 |
Medcost Setting Professional Modifier None Typical Low $134.90 Median $151.36 Typical High $208.93 | Professional | None | $134.90 | $151.36 | $208.93 |
Medcost Setting Facility Modifier None Typical Low $67.61 Median $123.03 Typical High $151.36 | Facility | None | $67.61 | $123.03 | $151.36 |
Medcost Setting Professional Modifier None Typical Low $107.15 Median $123.03 Typical High $151.36 | Professional | None | $107.15 | $123.03 | $151.36 |
Sentara Setting Facility Modifier None Typical Low $112.20 Median $158.49 Typical High $489.78 | Facility | None | $112.20 | $158.49 | $489.78 |
Sentara Setting Professional Modifier None Typical Low $123.03 Median $169.82 Typical High $346.74 | Professional | None | $123.03 | $169.82 | $346.74 |
United Setting Facility Modifier None Typical Low $100.00 Median $120.23 Typical High $263.03 | Facility | None | $100.00 | $120.23 | $263.03 |
United Setting Professional Modifier None Typical Low $102.33 Median $112.20 Typical High $169.82 | Professional | None | $102.33 | $112.20 | $169.82 |
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 $57.54 Median $58.88 Typical High $60.26 | Professional | 52 · Reduced service | $57.54 | $58.88 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $22.91 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $17.78 Typical High $18.20 | Professional | 55 · Aftercare only | $17.38 | $17.78 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $12.02 Typical High $12.02 | Professional | 56 · Pre-op care only | $11.48 | $12.02 | $12.02 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $11.75 Median $11.75 Typical High $15.85 | Professional | RR · Rental | $11.75 | $11.75 | $15.85 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $89.13 Median $89.13 Typical High $95.50 | Professional | UE · Used equipment | $89.13 | $89.13 | $95.50 |
Where Virginia sits
The same service costs 2.9 times more in Hawaii than in Florida. 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· 40th of 51
$117
HI $269FL $93.33
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.