How much rates vary
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 $1,862.09 Median $1,949.84 Typical High $1,995.26 | Professional | None | $1,862.09 | $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 $1,778.28 Median $2,630.27 Typical High $3,467.37 | Professional | None | $1,778.28 | $2,630.27 | $3,467.37 |
CareFirst Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,630.27 | Professional | None | $2,238.72 | $2,238.72 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,454.71 Typical High $2,454.71 | Facility | None | $1,659.59 | $2,454.71 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,454.71 | Professional | None | $1,778.28 | $1,778.28 | $2,454.71 |
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 $1,202.26 Median $2,041.74 Typical High $2,454.71 | Facility | None | $1,202.26 | $2,041.74 | $2,454.71 |
Medcost Setting Professional Modifier None Typical Low $2,041.74 Median $2,137.96 Typical High $2,454.71 | Professional | None | $2,041.74 | $2,137.96 | $2,454.71 |
Sentara Setting Facility Modifier None Typical Low $1,862.09 Median $2,691.53 Typical High $7,413.10 | Facility | None | $1,862.09 | $2,691.53 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $2,041.74 Median $2,818.38 Typical High $5,754.40 | Professional | None | $2,041.74 | $2,818.38 | $5,754.40 |
United Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $5,495.41 | Facility | None | $4,677.35 | $4,677.35 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $1,862.09 Typical High $2,818.38 | Professional | None | $1,698.24 | $1,862.09 | $2,818.38 |
4 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 55 · Aftercare only Typical Low $281.84 Median $295.12 Typical High $295.12 | Professional | 55 · Aftercare only | $281.84 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $194.98 Typical High $199.53 | Professional | 56 · Pre-op care only | $186.21 | $194.98 | $199.53 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $208.93 Median $208.93 Typical High $269.15 | Professional | RR · Rental | $208.93 | $208.93 | $269.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,548.82 Median $1,548.82 Typical High $1,659.59 | Professional | UE · Used equipment | $1,548.82 | $1,548.82 | $1,659.59 |
Where Virginia sits
The same service costs 2.3 times more in Montana 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· 32nd of 51
$2,239
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.