How much rates vary
Facilitymedian $7,244 · 10th to 90th $5,129 to $11,482Professionalmedian $5,495 · 10th to 90th $5,012 to $9,333
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 $5,370.32 Median $5,370.32 Typical High $5,370.32 | Facility | None | $5,370.32 | $5,370.32 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $5,128.61 Median $5,370.32 Typical High $5,370.32 | Professional | None | $5,128.61 | $5,370.32 | $5,370.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,232.93 Median $10,232.93 Typical High $10,964.78 | Facility | None | $10,232.93 | $10,232.93 | $10,964.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $4,786.30 Median $7,079.46 Typical High $9,332.54 | Professional | None | $4,786.30 | $7,079.46 | $9,332.54 |
CareFirst Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $7,079.46 | Professional | None | $5,495.41 | $5,495.41 | $7,079.46 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $7,244.36 Typical High $7,244.36 | Facility | None | $4,677.35 | $7,244.36 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $7,244.36 | Professional | None | $5,248.07 | $5,248.07 | $7,244.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7,244.36 Median $10,232.93 Typical High $13,489.63 | Professional | None | $7,244.36 | $10,232.93 | $13,489.63 |
Medcost Setting Professional Modifier None Typical Low $6,165.95 Median $6,760.83 Typical High $9,549.93 | Professional | None | $6,165.95 | $6,760.83 | $9,549.93 |
Medcost Setting Facility Modifier None Typical Low $3,311.31 Median $5,495.41 Typical High $6,760.83 | Facility | None | $3,311.31 | $5,495.41 | $6,760.83 |
Medcost Setting Professional Modifier None Typical Low $4,168.69 Median $5,495.41 Typical High $6,760.83 | Professional | None | $4,168.69 | $5,495.41 | $6,760.83 |
Sentara Setting Facility Modifier None Typical Low $5,011.87 Median $7,079.46 Typical High $15,488.17 | Facility | None | $5,011.87 | $7,079.46 | $15,488.17 |
Sentara Setting Professional Modifier None Typical Low $5,495.41 Median $7,585.78 Typical High $13,489.63 | Professional | None | $5,495.41 | $7,585.78 | $13,489.63 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $5,128.61 Typical High $12,589.25 | Facility | None | $4,365.16 | $5,128.61 | $12,589.25 |
United Setting Professional Modifier None Typical Low $4,570.88 Median $5,011.87 Typical High $7,585.78 | Professional | None | $4,570.88 | $5,011.87 | $7,585.78 |
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 $2,630.27 Median $2,691.53 Typical High $2,691.53 | Professional | 52 · Reduced service | $2,630.27 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,047.13 Median $1,071.52 Typical High $1,071.52 | Professional | 53 · Discontinued | $1,047.13 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $794.33 Median $794.33 Typical High $812.83 | Professional | 55 · Aftercare only | $794.33 | $794.33 | $812.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $524.81 Median $537.03 Typical High $537.03 | Professional | 56 · Pre-op care only | $524.81 | $537.03 | $537.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $562.34 Median $562.34 Typical High $741.31 | Professional | RR · Rental | $562.34 | $562.34 | $741.31 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4,265.80 Median $4,265.80 Typical High $4,570.88 | Professional | UE · Used equipment | $4,265.80 | $4,265.80 | $4,570.88 |
Where Virginia sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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· 31st of 51
$5,888
HI $11,220NJ $5,248
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.