How much rates vary
Facilitymedian $200 · 10th to 90th $148 to $427Professionalmedian $170 · 10th to 90th $129 to $229
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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $302.00 | Facility | None | $281.84 | $281.84 | $302.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $190.55 | Professional | None | $169.82 | $169.82 | $190.55 |
CareFirst Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $194.98 | Professional | None | $147.91 | $147.91 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $177.83 Typical High $177.83 | Facility | None | $158.49 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $177.83 | Professional | None | $128.82 | $128.82 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $281.84 Typical High $371.54 | Professional | None | $199.53 | $281.84 | $371.54 |
Medcost Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $263.03 | Professional | None | $186.21 | $186.21 | $263.03 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $151.36 Typical High $186.21 | Facility | None | $97.72 | $151.36 | $186.21 |
Medcost Setting Professional Modifier None Typical Low $151.36 Median $158.49 Typical High $208.93 | Professional | None | $151.36 | $158.49 | $208.93 |
Sentara Setting Facility Modifier None Typical Low $134.90 Median $194.98 Typical High $616.60 | Facility | None | $134.90 | $194.98 | $616.60 |
Sentara Setting Professional Modifier None Typical Low $151.36 Median $208.93 Typical High $426.58 | Professional | None | $151.36 | $208.93 | $426.58 |
United Setting Facility Modifier None Typical Low $186.21 Median $208.93 Typical High $380.19 | Facility | None | $186.21 | $208.93 | $380.19 |
United Setting Professional Modifier None Typical Low $128.82 Median $138.04 Typical High $213.80 | Professional | None | $128.82 | $138.04 | $213.80 |
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 $74.13 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $21.88 Typical High $22.39 | Professional | 55 · Aftercare only | $21.88 | $21.88 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 56 · Pre-op care only | $14.79 | $14.79 | $14.79 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $17.38 Median $17.38 Typical High $22.39 | Professional | RR · Rental | $17.38 | $17.38 | $22.39 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $125.89 Median $131.83 Typical High $138.04 | Professional | UE · Used equipment | $125.89 | $131.83 | $138.04 |
Where Virginia sits
The same service costs 3.5 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· 39th of 51
$170
HI $447DE $129
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.