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 $1,659.59 Median $4,786.30 Typical High $14,125.38 | Facility | None | $1,659.59 | $4,786.30 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,659.59 Typical High $3,467.37 | Professional | None | $1,548.82 | $1,659.59 | $3,467.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,677.35 Median $6,456.54 Typical High $7,244.36 | Facility | None | $4,677.35 | $6,456.54 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $51.29 Typical High $64.57 | Professional | None | $43.65 | $51.29 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $2,818.38 Typical High $5,495.41 | Facility | None | $524.81 | $2,818.38 | $5,495.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,318.26 Median $1,584.89 Typical High $1,949.84 | Professional | None | $1,318.26 | $1,584.89 | $1,949.84 |
Medcost Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,511.89 | Facility | None | $1,659.59 | $1,659.59 | $2,511.89 |
Medcost Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,445.44 | $1,445.44 | $1,445.44 |
Sentara Setting Facility Modifier None Typical Low $1,122.02 Median $2,089.30 Typical High $8,709.64 | Facility | None | $1,122.02 | $2,089.30 | $8,709.64 |
Sentara Setting Professional Modifier None Typical Low $1,513.56 Median $2,041.74 Typical High $6,918.31 | Professional | None | $1,513.56 | $2,041.74 | $6,918.31 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $5,011.87 Typical High $13,182.57 | Facility | None | $1,230.27 | $5,011.87 | $13,182.57 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $2,187.76 Typical High $3,311.31 | Professional | None | $1,348.96 | $2,187.76 | $3,311.31 |
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 $758.58 Median $831.76 Typical High $831.76 | Professional | 52 · Reduced service | $758.58 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $331.13 Typical High $331.13 | Professional | 53 · Discontinued | $302.00 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $251.19 Typical High $251.19 | Professional | 55 · Aftercare only | $229.09 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $165.96 Typical High $165.96 | Professional | 56 · Pre-op care only | $151.36 | $165.96 | $165.96 |
Where Virginia sits
The same service costs 147.9 times more in Alaska than in New York. 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· 49th of 51
$1,096
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.