How much rates vary
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 $77.62 Median $77.62 Typical High $79.43 | Facility | None | $77.62 | $77.62 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $77.62 Typical High $79.43 | Professional | None | $74.13 | $77.62 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $158.49 | Facility | None | $151.36 | $151.36 | $158.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $109.65 | Professional | None | $102.33 | $102.33 | $109.65 |
CareFirst Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $102.33 | Professional | None | $83.18 | $83.18 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $97.72 Typical High $97.72 | Facility | None | $66.07 | $97.72 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $97.72 | Professional | None | $72.44 | $72.44 | $97.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $151.36 Typical High $194.98 | Professional | None | $104.71 | $151.36 | $194.98 |
Medcost Setting Professional Modifier None Typical Low $89.13 Median $97.72 Typical High $138.04 | Professional | None | $89.13 | $97.72 | $138.04 |
Medcost Setting Facility Modifier None Typical Low $47.86 Median $81.28 Typical High $97.72 | Facility | None | $47.86 | $81.28 | $97.72 |
Medcost Setting Professional Modifier None Typical Low $81.28 Median $85.11 Typical High $97.72 | Professional | None | $81.28 | $85.11 | $97.72 |
Sentara Setting Facility Modifier None Typical Low $74.13 Median $107.15 Typical High $323.59 | Facility | None | $74.13 | $107.15 | $323.59 |
Sentara Setting Professional Modifier None Typical Low $81.28 Median $112.20 Typical High $229.09 | Professional | None | $81.28 | $112.20 | $229.09 |
United Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $218.78 | Facility | None | $181.97 | $181.97 | $218.78 |
United Setting Professional Modifier None Typical Low $67.61 Median $74.13 Typical High $114.82 | Professional | None | $67.61 | $74.13 | $114.82 |
4 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 55 · Aftercare only Typical Low $10.96 Median $11.75 Typical High $11.75 | Professional | 55 · Aftercare only | $10.96 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.76 Typical High $7.94 | Professional | 56 · Pre-op care only | $7.41 | $7.76 | $7.94 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $10.23 Median $10.23 Typical High $10.96 | Professional | RR · Rental | $10.23 | $10.23 | $10.96 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $75.86 Median $75.86 Typical High $81.28 | Professional | UE · Used equipment | $75.86 | $75.86 | $81.28 |
Where Virginia sits
The same service costs 4.2 times more in Kansas 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· 26th of 51
$102
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.