How much rates vary
Facilitymedian $12,882 · 10th to 90th $9,333 to $21,380Professionalmedian $10,715 · 10th to 90th $9,120 to $15,488
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 $10,232.93 Median $10,232.93 Typical High $10,232.93 | Facility | None | $10,232.93 | $10,232.93 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $9,549.93 Median $10,232.93 Typical High $10,232.93 | Professional | None | $9,549.93 | $10,232.93 | $10,232.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $19,498.45 Median $19,498.45 Typical High $20,892.96 | Facility | None | $19,498.45 | $19,498.45 | $20,892.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $10,715.19 Median $10,715.19 Typical High $13,182.57 | Professional | None | $10,715.19 | $10,715.19 | $13,182.57 |
CareFirst Setting Professional Modifier None Typical Low $11,220.18 Median $11,220.18 Typical High $13,489.63 | Professional | None | $11,220.18 | $11,220.18 | $13,489.63 |
Cigna Setting Facility Modifier None Typical Low $8,317.64 Median $12,589.25 Typical High $12,589.25 | Facility | None | $8,317.64 | $12,589.25 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $12,589.25 | Professional | None | $9,120.11 | $9,120.11 | $12,589.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13,803.84 Median $19,498.45 Typical High $25,703.96 | Professional | None | $13,803.84 | $19,498.45 | $25,703.96 |
Medcost Setting Professional Modifier None Typical Low $11,481.54 Median $12,882.50 Typical High $17,782.79 | Professional | None | $11,481.54 | $12,882.50 | $17,782.79 |
Medcost Setting Facility Modifier None Typical Low $6,165.95 Median $10,471.29 Typical High $12,882.50 | Facility | None | $6,165.95 | $10,471.29 | $12,882.50 |
Medcost Setting Professional Modifier None Typical Low $7,762.47 Median $10,471.29 Typical High $12,882.50 | Professional | None | $7,762.47 | $10,471.29 | $12,882.50 |
Sentara Setting Facility Modifier None Typical Low $9,332.54 Median $12,882.50 Typical High $29,512.09 | Facility | None | $9,332.54 | $12,882.50 | $29,512.09 |
Sentara Setting Professional Modifier None Typical Low $10,000.00 Median $13,803.84 Typical High $25,703.96 | Professional | None | $10,000.00 | $13,803.84 | $25,703.96 |
United Setting Facility Modifier None Typical Low $7,943.28 Median $9,332.54 Typical High $23,988.33 | Facility | None | $7,943.28 | $9,332.54 | $23,988.33 |
United Setting Professional Modifier None Typical Low $8,709.64 Median $9,549.93 Typical High $14,454.40 | Professional | None | $8,709.64 | $9,549.93 | $14,454.40 |
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 $5,011.87 Median $5,011.87 Typical High $5,128.61 | Professional | 52 · Reduced service | $5,011.87 | $5,011.87 | $5,128.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | 53 · Discontinued | $2,041.74 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,513.56 Median $1,513.56 Typical High $1,548.82 | Professional | 55 · Aftercare only | $1,513.56 | $1,513.56 | $1,548.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1,000.00 Median $1,023.29 Typical High $1,023.29 | Professional | 56 · Pre-op care only | $1,000.00 | $1,023.29 | $1,023.29 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,071.52 Median $1,071.52 Typical High $1,380.38 | Professional | RR · Rental | $1,071.52 | $1,071.52 | $1,380.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7,943.28 Median $7,943.28 Typical High $8,709.64 | Professional | UE · Used equipment | $7,943.28 | $7,943.28 | $8,709.64 |
Where Virginia sits
The same service costs 2.5 times more in Montana than in Florida. 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
$10,715
MT $22,387FL $9,120
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.