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 $1,380.38 Median $4,786.30 Typical High $14,125.38 | Facility | None | $1,380.38 | $4,786.30 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,380.38 Typical High $3,467.37 | Professional | None | $1,258.93 | $1,380.38 | $3,467.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,165.95 Median $7,413.10 Typical High $9,549.93 | Facility | None | $6,165.95 | $7,413.10 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $66.07 | Professional | None | $44.67 | $52.48 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $794.33 Typical High $3,019.95 | Facility | None | $512.86 | $794.33 | $3,019.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $1,905.46 | Professional | None | $1,288.25 | $1,548.82 | $1,905.46 |
Medcost Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $2,137.96 | Facility | None | $1,380.38 | $1,380.38 | $2,137.96 |
Sentara Setting Facility Modifier None Typical Low $1,023.29 Median $1,862.09 Typical High $8,709.64 | Facility | None | $1,023.29 | $1,862.09 | $8,709.64 |
Sentara Setting Professional Modifier None Typical Low $1,288.25 Median $1,698.24 Typical High $5,370.32 | Professional | None | $1,288.25 | $1,698.24 | $5,370.32 |
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 $1,148.15 Median $1,862.09 Typical High $2,818.38 | Professional | None | $1,148.15 | $1,862.09 | $2,818.38 |
5 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 $630.96 Median $691.83 Typical High $691.83 | Professional | 52 · Reduced service | $630.96 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $251.19 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $1,047.13 Typical High $1,047.13 | Professional | 54 · Surgery only | $954.99 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $208.93 Typical High $208.93 | Professional | 55 · Aftercare only | $190.55 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $138.04 Typical High $138.04 | Professional | 56 · Pre-op care only | $125.89 | $138.04 | $138.04 |
Where Virginia sits
The same service costs 109.6 times more in Alaska 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· 47th of 51
$1,000
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.