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 $223.87 Median $4,073.80 Typical High $10,000.00 | Facility | None | $223.87 | $4,073.80 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $371.54 Typical High $616.60 | Professional | None | $186.21 | $371.54 | $616.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $331.13 Typical High $501.19 | Professional | None | $177.83 | $331.13 | $501.19 |
CareFirst Setting Professional Modifier None Typical Low $186.21 Median $208.93 Typical High $245.47 | Professional | None | $186.21 | $208.93 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $676.08 Typical High $2,691.53 | Facility | None | $346.74 | $676.08 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $354.81 Typical High $537.03 | Professional | None | $177.83 | $354.81 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $478.63 Typical High $575.44 | Professional | None | $371.54 | $478.63 | $575.44 |
Medcost Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $676.08 | Professional | None | $537.03 | $537.03 | $676.08 |
Medcost Setting Facility Modifier None Typical Low $223.87 Median $371.54 Typical High $724.44 | Facility | None | $223.87 | $371.54 | $724.44 |
Medcost Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Sentara Setting Facility Modifier None Typical Low $186.21 Median $426.58 Typical High $2,454.71 | Facility | None | $186.21 | $426.58 | $2,454.71 |
Sentara Setting Professional Modifier None Typical Low $398.11 Median $501.19 Typical High $1,445.44 | Professional | None | $398.11 | $501.19 | $1,445.44 |
United Setting Facility Modifier None Typical Low $100.00 Median $660.69 Typical High $2,089.30 | Facility | None | $100.00 | $660.69 | $2,089.30 |
United Setting Professional Modifier None Typical Low $165.96 Median $331.13 Typical High $630.96 | Professional | None | $165.96 | $331.13 | $630.96 |
1 more rate 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 54 · Surgery only Typical Low $141.25 Median $218.78 Typical High $331.13 | Professional | 54 · Surgery only | $141.25 | $218.78 | $331.13 |
Where Virginia sits
The same service costs 3.8 times more in Alaska than in Maryland. 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· 33rd of 51
$363
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.