How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,230.27 Median $1,230.27 Typical High $1,412.54 | Facility | None | $1,230.27 | $1,230.27 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $245.47 Typical High $416.87 | Professional | None | $177.83 | $245.47 | $416.87 |
CareSource Setting Professional Modifier None Typical Low $213.80 Median $363.08 Typical High $436.52 | Professional | None | $213.80 | $363.08 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $275.42 | Facility | None | $34.67 | $34.67 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $398.11 Typical High $1,000.00 | Professional | None | $190.55 | $398.11 | $1,000.00 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Highmark BCBS Setting Professional Modifier None Typical Low $489.78 Median $512.86 Typical High $616.60 | Professional | None | $489.78 | $512.86 | $616.60 |
United Setting Facility Modifier None Typical Low $100.00 Median $131.83 Typical High $457.09 | Facility | None | $100.00 | $131.83 | $457.09 |
United Setting Professional Modifier None Typical Low $169.82 Median $354.81 Typical High $870.96 | Professional | None | $169.82 | $354.81 | $870.96 |
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 $131.83 Median $141.25 Typical High $275.42 | Professional | 54 · Surgery only | $131.83 | $141.25 | $275.42 |
Where West 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.
West Virginia· 23rd of 51
$372
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.