How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,698 to $5,370Professionalmedian $2,089 · 10th to 90th $1,738 to $2,884
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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,801.89 | Facility | None | $3,548.13 | $3,548.13 | $3,801.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,570.40 | Professional | None | $2,089.30 | $2,089.30 | $2,570.40 |
CareFirst Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,454.71 | Professional | None | $1,862.09 | $1,862.09 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $2,398.83 Typical High $2,398.83 | Facility | None | $1,584.89 | $2,398.83 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,398.83 | Professional | None | $1,737.80 | $1,737.80 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,511.89 Median $3,548.13 Typical High $4,677.35 | Professional | None | $2,511.89 | $3,548.13 | $4,677.35 |
Medcost Setting Professional Modifier None Typical Low $2,238.72 Median $2,344.23 Typical High $3,235.94 | Professional | None | $2,238.72 | $2,344.23 | $3,235.94 |
Medcost Setting Facility Modifier None Typical Low $1,202.26 Median $1,905.46 Typical High $2,344.23 | Facility | None | $1,202.26 | $1,905.46 | $2,344.23 |
Medcost Setting Professional Modifier None Typical Low $1,621.81 Median $1,905.46 Typical High $2,344.23 | Professional | None | $1,621.81 | $1,905.46 | $2,344.23 |
Sentara Setting Facility Modifier None Typical Low $1,737.80 Median $2,454.71 Typical High $7,413.10 | Facility | None | $1,737.80 | $2,454.71 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $1,905.46 Median $2,630.27 Typical High $5,370.32 | Professional | None | $1,905.46 | $2,630.27 | $5,370.32 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $4,570.88 | Facility | None | $1,445.44 | $1,698.24 | $4,570.88 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $1,737.80 Typical High $2,630.27 | Professional | None | $1,621.81 | $1,737.80 | $2,630.27 |
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 $912.01 Median $912.01 Typical High $933.25 | Professional | 52 · Reduced service | $912.01 | $912.01 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 53 · Discontinued | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $275.42 Typical High $281.84 | Professional | 55 · Aftercare only | $275.42 | $275.42 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 56 · Pre-op care only | $186.21 | $186.21 | $186.21 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $208.93 Median $208.93 Typical High $257.04 | Professional | RR · Rental | $208.93 | $208.93 | $257.04 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,548.82 Median $1,548.82 Typical High $1,659.59 | Professional | UE · Used equipment | $1,548.82 | $1,548.82 | $1,659.59 |
Where Virginia sits
The same service costs 2.2 times more in Arkansas 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· 34th of 51
$2,089
AR $3,890DE $1,738
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.