How much rates vary
Facilitymedian $30,200 · 10th to 90th $20,417 to $46,774Professionalmedian $23,988 · 10th to 90th $20,893 to $33,884
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 $21,877.62 Median $21,877.62 Typical High $22,387.21 | Facility | None | $21,877.62 | $21,877.62 | $22,387.21 |
Aetna Setting Professional Modifier None Typical Low $21,877.62 Median $21,877.62 Typical High $22,387.21 | Professional | None | $21,877.62 | $21,877.62 | $22,387.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $42,657.95 Median $42,657.95 Typical High $45,708.82 | Facility | None | $42,657.95 | $42,657.95 | $45,708.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $23,988.33 Median $23,988.33 Typical High $29,512.09 | Professional | None | $23,988.33 | $23,988.33 | $29,512.09 |
CareFirst Setting Professional Modifier None Typical Low $22,387.21 Median $22,387.21 Typical High $29,512.09 | Professional | None | $22,387.21 | $22,387.21 | $29,512.09 |
Cigna Setting Facility Modifier None Typical Low $20,417.38 Median $30,199.52 Typical High $30,199.52 | Facility | None | $20,417.38 | $30,199.52 | $30,199.52 |
Cigna Setting Professional Modifier None Typical Low $22,387.21 Median $22,387.21 Typical High $30,199.52 | Professional | None | $22,387.21 | $22,387.21 | $30,199.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30,199.52 Median $42,657.95 Typical High $54,954.09 | Professional | None | $30,199.52 | $42,657.95 | $54,954.09 |
Medcost Setting Professional Modifier None Typical Low $24,547.09 Median $28,183.83 Typical High $38,904.51 | Professional | None | $24,547.09 | $28,183.83 | $38,904.51 |
Medcost Setting Facility Modifier None Typical Low $13,803.84 Median $22,908.68 Typical High $28,183.83 | Facility | None | $13,803.84 | $22,908.68 | $28,183.83 |
Medcost Setting Professional Modifier None Typical Low $19,498.45 Median $22,908.68 Typical High $28,183.83 | Professional | None | $19,498.45 | $22,908.68 | $28,183.83 |
Sentara Setting Facility Modifier None Typical Low $17,378.01 Median $28,183.83 Typical High $64,565.42 | Facility | None | $17,378.01 | $28,183.83 | $64,565.42 |
Sentara Setting Professional Modifier None Typical Low $20,892.96 Median $30,199.52 Typical High $56,234.13 | Professional | None | $20,892.96 | $30,199.52 | $56,234.13 |
United Setting Facility Modifier None Typical Low $53,703.18 Median $53,703.18 Typical High $64,565.42 | Facility | None | $53,703.18 | $53,703.18 | $64,565.42 |
United Setting Professional Modifier None Typical Low $19,498.45 Median $20,892.96 Typical High $31,622.78 | Professional | None | $19,498.45 | $20,892.96 | $31,622.78 |
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 $10,964.78 Median $10,964.78 Typical High $11,220.18 | Professional | 52 · Reduced service | $10,964.78 | $10,964.78 | $11,220.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | 53 · Discontinued | $4,466.84 | $4,466.84 | $4,466.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3,311.31 Median $3,311.31 Typical High $3,388.44 | Professional | 55 · Aftercare only | $3,311.31 | $3,311.31 | $3,388.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2,187.76 Median $2,187.76 Typical High $2,238.72 | Professional | 56 · Pre-op care only | $2,187.76 | $2,187.76 | $2,238.72 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2,398.83 Median $2,398.83 Typical High $3,090.30 | Professional | RR · Rental | $2,398.83 | $2,398.83 | $3,090.30 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $17,782.79 Median $17,782.79 Typical High $19,498.45 | Professional | UE · Used equipment | $17,782.79 | $17,782.79 | $19,498.45 |
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· 37th of 51
$23,988
HI $47,863NJ $22,387
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.