How much rates vary
Facilitymedian $759 · 10th to 90th $550 to $1,622Professionalmedian $603 · 10th to 90th $525 to $871
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 $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $562.34 Typical High $562.34 | Professional | None | $467.74 | $562.34 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,148.15 | Facility | None | $1,071.52 | $1,071.52 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $645.65 | Professional | None | $602.56 | $602.56 | $645.65 |
CareFirst Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $741.31 | Professional | None | $562.34 | $562.34 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $707.95 Typical High $707.95 | Facility | None | $331.13 | $707.95 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $707.95 | Professional | None | $602.56 | $602.56 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $1,071.52 Typical High $1,412.54 | Professional | None | $758.58 | $1,071.52 | $1,412.54 |
Medcost Setting Professional Modifier None Typical Low $630.96 Median $707.95 Typical High $977.24 | Professional | None | $630.96 | $707.95 | $977.24 |
Medcost Setting Facility Modifier None Typical Low $281.84 Median $575.44 Typical High $707.95 | Facility | None | $281.84 | $575.44 | $707.95 |
Medcost Setting Professional Modifier None Typical Low $407.38 Median $446.68 Typical High $707.95 | Professional | None | $407.38 | $446.68 | $707.95 |
Sentara Setting Facility Modifier None Typical Low $524.81 Median $741.31 Typical High $2,290.87 | Facility | None | $524.81 | $741.31 | $2,290.87 |
Sentara Setting Professional Modifier None Typical Low $575.44 Median $794.33 Typical High $1,621.81 | Professional | None | $575.44 | $794.33 | $1,621.81 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $1,288.25 | Facility | None | $398.11 | $398.11 | $1,288.25 |
United Setting Professional Modifier None Typical Low $446.68 Median $524.81 Typical High $794.33 | Professional | None | $446.68 | $524.81 | $794.33 |
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 $239.88 Median $275.42 Typical High $281.84 | Professional | 52 · Reduced service | $239.88 | $275.42 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $95.50 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $83.18 Typical High $85.11 | Professional | 55 · Aftercare only | $70.79 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $47.86 | $56.23 | $56.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $61.66 Median $61.66 Typical High $64.57 | Professional | RR · Rental | $61.66 | $61.66 | $64.57 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $446.68 Median $467.74 Typical High $467.74 | Professional | UE · Used equipment | $446.68 | $467.74 | $467.74 |
Where Virginia sits
The same service costs 2.0 times more in Iowa than in Florida. 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· 21st of 51
$603
IA $891FL $447
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.