How much rates vary
Facilitymedian $1,349 · 10th to 90th $977 to $2,951Professionalmedian $1,175 · 10th to 90th $912 to $1,622
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,089.30 | Facility | None | $1,995.26 | $1,995.26 | $2,089.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,445.44 | Professional | None | $1,174.90 | $1,174.90 | $1,445.44 |
CareFirst Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,348.96 | Professional | None | $1,047.13 | $1,047.13 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,258.93 Typical High $1,258.93 | Facility | None | $831.76 | $1,258.93 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,258.93 | Professional | None | $912.01 | $912.01 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,380.38 Median $1,995.26 Typical High $2,570.40 | Professional | None | $1,380.38 | $1,995.26 | $2,570.40 |
Medcost Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,819.70 | Professional | None | $1,288.25 | $1,288.25 | $1,819.70 |
Medcost Setting Facility Modifier None Typical Low $691.83 Median $1,071.52 Typical High $1,288.25 | Facility | None | $691.83 | $1,071.52 | $1,288.25 |
Medcost Setting Professional Modifier None Typical Low $870.96 Median $1,096.48 Typical High $1,288.25 | Professional | None | $870.96 | $1,096.48 | $1,288.25 |
Sentara Setting Facility Modifier None Typical Low $954.99 Median $1,348.96 Typical High $4,265.80 | Facility | None | $954.99 | $1,348.96 | $4,265.80 |
Sentara Setting Professional Modifier None Typical Low $1,071.52 Median $1,445.44 Typical High $2,951.21 | Professional | None | $1,071.52 | $1,445.44 | $2,951.21 |
United Setting Facility Modifier None Typical Low $691.83 Median $977.24 Typical High $2,630.27 | Facility | None | $691.83 | $977.24 | $2,630.27 |
United Setting Professional Modifier None Typical Low $891.25 Median $977.24 Typical High $1,479.11 | Professional | None | $891.25 | $977.24 | $1,479.11 |
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 $512.86 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $208.93 | Professional | 53 · Discontinued | $204.17 | $204.17 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $102.33 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $117.49 Median $117.49 Typical High $144.54 | Professional | RR · Rental | $117.49 | $117.49 | $144.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $891.25 Median $891.25 Typical High $954.99 | Professional | UE · Used equipment | $891.25 | $891.25 | $954.99 |
Where Virginia sits
The same service costs 2.5 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· 29th of 51
$1,175
AR $2,239DE $912
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.