How much rates vary
Facilitymedian $12,023 · 10th to 90th $8,913 to $19,953Professionalmedian $9,550 · 10th to 90th $8,511 to $16,596
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 $9,332.54 Median $9,332.54 Typical High $9,549.93 | Facility | None | $9,332.54 | $9,332.54 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $8,912.51 Median $9,332.54 Typical High $9,549.93 | Professional | None | $8,912.51 | $9,332.54 | $9,549.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $18,197.01 Median $18,197.01 Typical High $19,498.45 | Facility | None | $18,197.01 | $18,197.01 | $19,498.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $8,709.64 Median $13,182.57 Typical High $17,378.01 | Professional | None | $8,709.64 | $13,182.57 | $17,378.01 |
CareFirst Setting Professional Modifier None Typical Low $9,549.93 Median $9,549.93 Typical High $12,589.25 | Professional | None | $9,549.93 | $9,549.93 | $12,589.25 |
Cigna Setting Facility Modifier None Typical Low $7,762.47 Median $11,748.98 Typical High $11,748.98 | Facility | None | $7,762.47 | $11,748.98 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $11,748.98 | Professional | None | $8,511.38 | $8,511.38 | $11,748.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12,882.50 Median $18,197.01 Typical High $23,988.33 | Professional | None | $12,882.50 | $18,197.01 | $23,988.33 |
Medcost Setting Professional Modifier None Typical Low $11,481.54 Median $12,022.64 Typical High $16,595.87 | Professional | None | $11,481.54 | $12,022.64 | $16,595.87 |
Medcost Setting Facility Modifier None Typical Low $6,025.60 Median $9,772.37 Typical High $12,022.64 | Facility | None | $6,025.60 | $9,772.37 | $12,022.64 |
Medcost Setting Professional Modifier None Typical Low $7,585.78 Median $9,772.37 Typical High $12,022.64 | Professional | None | $7,585.78 | $9,772.37 | $12,022.64 |
Sentara Setting Facility Modifier None Typical Low $8,709.64 Median $12,022.64 Typical High $27,542.29 | Facility | None | $8,709.64 | $12,022.64 | $27,542.29 |
Sentara Setting Professional Modifier None Typical Low $9,332.54 Median $12,882.50 Typical High $23,988.33 | Professional | None | $9,332.54 | $12,882.50 | $23,988.33 |
United Setting Facility Modifier None Typical Low $7,585.78 Median $8,912.51 Typical High $22,908.68 | Facility | None | $7,585.78 | $8,912.51 | $22,908.68 |
United Setting Professional Modifier None Typical Low $8,317.64 Median $8,912.51 Typical High $13,489.63 | Professional | None | $8,317.64 | $8,912.51 | $13,489.63 |
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 $4,677.35 Median $4,677.35 Typical High $4,786.30 | Professional | 52 · Reduced service | $4,677.35 | $4,677.35 | $4,786.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | 53 · Discontinued | $1,905.46 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,412.54 Median $1,412.54 Typical High $1,445.44 | Professional | 55 · Aftercare only | $1,412.54 | $1,412.54 | $1,445.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $933.25 Median $933.25 Typical High $954.99 | Professional | 56 · Pre-op care only | $933.25 | $933.25 | $954.99 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,023.29 Median $1,023.29 Typical High $1,348.96 | Professional | RR · Rental | $1,023.29 | $1,023.29 | $1,348.96 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7,762.47 Median $7,762.47 Typical High $8,317.64 | Professional | UE · Used equipment | $7,762.47 | $7,762.47 | $8,317.64 |
Where Virginia sits
The same service costs 2.6 times more in Montana 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· 34th of 51
$10,233
MT $21,878NJ $8,511
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.