How much rates vary
Facilitymedian $692 · 10th to 90th $457 to $1,349Professionalmedian $513 · 10th to 90th $437 to $832
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 $457.09 Median $457.09 Typical High $467.74 | Facility | None | $457.09 | $457.09 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $467.74 | Professional | None | $457.09 | $457.09 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $954.99 | Facility | None | $891.25 | $891.25 | $954.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $426.58 Median $630.96 Typical High $851.14 | Professional | None | $426.58 | $630.96 | $851.14 |
CareFirst Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $616.60 | Professional | None | $467.74 | $467.74 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $691.83 Typical High $691.83 | Facility | None | $467.74 | $691.83 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $691.83 | Professional | None | $512.86 | $512.86 | $691.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $891.25 Typical High $1,148.15 | Professional | None | $630.96 | $891.25 | $1,148.15 |
Medcost Setting Professional Modifier None Typical Low $524.81 Median $588.84 Typical High $812.83 | Professional | None | $524.81 | $588.84 | $812.83 |
Medcost Setting Facility Modifier None Typical Low $295.12 Median $478.63 Typical High $588.84 | Facility | None | $295.12 | $478.63 | $588.84 |
Medcost Setting Professional Modifier None Typical Low $416.87 Median $501.19 Typical High $588.84 | Professional | None | $416.87 | $501.19 | $588.84 |
Sentara Setting Facility Modifier None Typical Low $436.52 Median $616.60 Typical High $1,905.46 | Facility | None | $436.52 | $616.60 | $1,905.46 |
Sentara Setting Professional Modifier None Typical Low $478.63 Median $660.69 Typical High $1,348.96 | Professional | None | $478.63 | $660.69 | $1,348.96 |
United Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $1,122.02 | Facility | None | $398.11 | $501.19 | $1,122.02 |
United Setting Professional Modifier None Typical Low $407.38 Median $436.52 Typical High $660.69 | Professional | None | $407.38 | $436.52 | $660.69 |
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 $229.09 Median $229.09 Typical High $234.42 | Professional | 52 · Reduced service | $229.09 | $229.09 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $70.79 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $46.77 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $46.77 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $50.12 Median $50.12 Typical High $66.07 | Professional | RR · Rental | $50.12 | $50.12 | $66.07 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $380.19 Median $380.19 Typical High $407.38 | Professional | UE · Used equipment | $380.19 | $380.19 | $407.38 |
Where Virginia sits
The same service costs 2.4 times more in Hawaii than in Washington, DC. 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· 42nd of 51
$513
HI $1,122DC $468
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.