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 $23.99 Median $23.99 Typical High $27.54 | Facility | None | $23.99 | $23.99 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $23.99 Typical High $27.54 | Professional | None | $20.89 | $23.99 | $27.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $28.84 Typical High $36.31 | Professional | None | $23.99 | $28.84 | $36.31 |
CareFirst Setting Professional Modifier None Typical Low $27.54 Median $30.90 Typical High $36.31 | Professional | None | $27.54 | $30.90 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.12 Median $30.20 Typical High $38.02 | Professional | None | $25.12 | $30.20 | $38.02 |
Medcost Setting Professional Modifier None Typical Low $12.30 Median $21.38 Typical High $21.38 | Professional | None | $12.30 | $21.38 | $21.38 |
Medcost Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $43.65 | Facility | None | $22.39 | $22.39 | $43.65 |
Medcost Setting Professional Modifier None Typical Low $16.22 Median $16.98 Typical High $22.39 | Professional | None | $16.22 | $16.98 | $22.39 |
Sentara Setting Facility Modifier None Typical Low $11.22 Median $32.36 Typical High $10,232.93 | Facility | None | $11.22 | $32.36 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $11.22 Median $23.99 Typical High $54.95 | Professional | None | $11.22 | $23.99 | $54.95 |
United Setting Professional Modifier None Typical Low $13.80 Median $23.99 Typical High $43.65 | Professional | None | $13.80 | $23.99 | $43.65 |
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 52 · Reduced service Typical Low $10.47 Median $12.02 Typical High $13.80 | Professional | 52 · Reduced service | $10.47 | $12.02 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.79 Typical High $5.50 | Professional | 53 · Discontinued | $4.17 | $4.79 | $5.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $3.63 Typical High $4.17 | Professional | 55 · Aftercare only | $3.16 | $3.63 | $4.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.09 Median $2.40 Typical High $2.75 | Professional | 56 · Pre-op care only | $2.09 | $2.40 | $2.75 |
Where Virginia sits
The same service costs 4.1 times more in Wyoming than in Kentucky. 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· 22nd of 51
$27.54
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.