How much rates vary
Facilitymedian $3,236 · 10th to 90th $2,291 to $6,607Professionalmedian $2,692 · 10th to 90th $2,138 to $3,631
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 $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,137.96 | $2,290.87 | $2,290.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,677.35 | Facility | None | $4,365.16 | $4,365.16 | $4,677.35 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $3,162.28 | Professional | None | $2,691.53 | $2,691.53 | $3,162.28 |
CareFirst Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $3,019.95 | Professional | None | $2,398.83 | $2,398.83 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $3,090.30 Typical High $3,090.30 | Facility | None | $1,905.46 | $3,090.30 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $3,090.30 | Professional | None | $2,238.72 | $2,238.72 | $3,090.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,090.30 Median $4,365.16 Typical High $5,754.40 | Professional | None | $3,090.30 | $4,365.16 | $5,754.40 |
Medcost Setting Professional Modifier None Typical Low $2,570.40 Median $2,884.03 Typical High $4,073.80 | Professional | None | $2,570.40 | $2,884.03 | $4,073.80 |
Medcost Setting Facility Modifier None Typical Low $1,412.54 Median $2,344.23 Typical High $2,884.03 | Facility | None | $1,412.54 | $2,344.23 | $2,884.03 |
Medcost Setting Professional Modifier None Typical Low $2,344.23 Median $2,511.89 Typical High $2,884.03 | Professional | None | $2,344.23 | $2,511.89 | $2,884.03 |
Sentara Setting Facility Modifier None Typical Low $2,137.96 Median $3,090.30 Typical High $8,511.38 | Facility | None | $2,137.96 | $3,090.30 | $8,511.38 |
Sentara Setting Professional Modifier None Typical Low $2,344.23 Median $3,235.94 Typical High $6,606.93 | Professional | None | $2,344.23 | $3,235.94 | $6,606.93 |
United Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $6,456.54 | Facility | None | $5,370.32 | $5,370.32 | $6,456.54 |
United Setting Professional Modifier None Typical Low $1,949.84 Median $2,137.96 Typical High $3,235.94 | Professional | None | $1,949.84 | $2,137.96 | $3,235.94 |
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 $1,071.52 Median $1,148.15 Typical High $1,148.15 | Professional | 52 · Reduced service | $1,071.52 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $457.09 Typical High $457.09 | Professional | 53 · Discontinued | $436.52 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $338.84 Typical High $346.74 | Professional | 55 · Aftercare only | $323.59 | $338.84 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $229.09 Typical High $229.09 | Professional | 56 · Pre-op care only | $213.80 | $229.09 | $229.09 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $288.40 Median $316.23 Typical High $316.23 | Professional | RR · Rental | $288.40 | $316.23 | $316.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,041.74 Median $2,344.23 Typical High $2,344.23 | Professional | UE · Used equipment | $2,041.74 | $2,344.23 | $2,344.23 |
Where Virginia sits
The same service costs 2.0 times more in Montana 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· 29th of 51
$2,692
MT $4,571NJ $2,239
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.